Provider Demographics
NPI:1568696250
Name:SIERRA, DARLENE FRANCES (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:FRANCES
Last Name:SIERRA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 MIMOSA LN
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-1644
Mailing Address - Country:US
Mailing Address - Phone:718-984-2426
Mailing Address - Fax:
Practice Address - Street 1:77 MIMOSA LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-1644
Practice Address - Country:US
Practice Address - Phone:718-984-2426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041258-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker