Provider Demographics
NPI:1396867024
Name:FARR, DARLA GRACE (LCSW)
Entity Type:Individual
Prefix:
First Name:DARLA
Middle Name:GRACE
Last Name:FARR
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 1:50 HESS HILL RD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17821-9339
Mailing Address - Country:US
Mailing Address - Phone:570-275-2707
Mailing Address - Fax:
Practice Address - Street 1:304 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17821-2042
Practice Address - Country:US
Practice Address - Phone:570-275-5676
Practice Address - Fax:570-524-0956
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0156991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical