Provider Demographics
NPI:1437533437
Name:DARDEN, VINCENT (LMSW)
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:
Last Name:DARDEN
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S WILBUR AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204-2730
Mailing Address - Country:US
Mailing Address - Phone:315-476-7441
Mailing Address - Fax:315-476-1582
Practice Address - Street 1:600 S WILBUR AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-2730
Practice Address - Country:US
Practice Address - Phone:315-476-7441
Practice Address - Fax:315-476-1582
Is Sole Proprietor?:No
Enumeration Date:2015-07-20
Last Update Date:2015-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY094900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker