Provider Demographics
NPI:1346512498
Name:SINCLAIR, DARLA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:DARLA
Middle Name:
Last Name:SINCLAIR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 RAMSGATE CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-3847
Mailing Address - Country:US
Mailing Address - Phone:410-530-9538
Mailing Address - Fax:
Practice Address - Street 1:8370 COURT AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4688
Practice Address - Country:US
Practice Address - Phone:410-530-9538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-06
Last Update Date:2012-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD122901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical