Provider Demographics
NPI:1477780161
Name:SOCKWELL, DARCELL (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:DARCELL
Middle Name:
Last Name:SOCKWELL
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W WINTON AVE
Mailing Address - Street 2:SUITE 202D
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-1216
Mailing Address - Country:US
Mailing Address - Phone:855-646-3123
Mailing Address - Fax:
Practice Address - Street 1:225 W WINTON AVE
Practice Address - Street 2:SUITE 202D
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94544-1216
Practice Address - Country:US
Practice Address - Phone:855-646-3123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84387106H00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist