Provider Demographics
NPI:1518182260
Name:GOLAS, DARLENE J (LCSW)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:J
Last Name:GOLAS
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 1:801 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MT
Mailing Address - Zip Code:59840-3015
Mailing Address - Country:US
Mailing Address - Phone:406-363-5488
Mailing Address - Fax:406-363-2414
Practice Address - Street 1:801 S 1ST ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-3015
Practice Address - Country:US
Practice Address - Phone:406-363-5488
Practice Address - Fax:406-363-2414
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT180-LCSW1041C0700X
IDLCSW8121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical