Provider Demographics
NPI:1124180112
Name:NEARON, DARRELL MAXWELL JR (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARRELL
Middle Name:MAXWELL
Last Name:NEARON
Suffix:JR
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 HR DR SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-6008
Mailing Address - Country:US
Mailing Address - Phone:202-574-3332
Mailing Address - Fax:202-574-3221
Practice Address - Street 1:816 HR DR SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-6008
Practice Address - Country:US
Practice Address - Phone:202-574-3332
Practice Address - Fax:202-574-3221
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3027341041C0700X
MD112631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical