Provider Demographics
NPI:1336637917
Name:DARRAS, LOU ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LOU
Middle Name:ANN
Last Name:DARRAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10935 SALTILLO ST NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87114-6305
Mailing Address - Country:US
Mailing Address - Phone:505-269-7661
Mailing Address - Fax:
Practice Address - Street 1:10935 SALTILLO ST NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87114-6305
Practice Address - Country:US
Practice Address - Phone:505-269-7661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-29
Last Update Date:2018-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-047711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical