Provider Demographics
NPI:1164877155
Name:WOODLEY, DARREN J (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:J
Last Name:WOODLEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 MERCHANTS ROW BLVD
Mailing Address - Street 2:APT. 233
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32311-3656
Mailing Address - Country:US
Mailing Address - Phone:850-766-3546
Mailing Address - Fax:
Practice Address - Street 1:2967 NATURAL BRIDGE RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-1806
Practice Address - Country:US
Practice Address - Phone:850-410-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW135531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical