Provider Demographics
NPI:1558513978
Name:POLLA, DARCI R (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:R
Last Name:POLLA
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 WASHINGTON ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-3800
Mailing Address - Country:US
Mailing Address - Phone:303-669-9270
Mailing Address - Fax:
Practice Address - Street 1:612 WASHINGTON ST
Practice Address - Street 2:SUITE 112
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-3800
Practice Address - Country:US
Practice Address - Phone:303-669-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9929641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical