Provider Demographics
NPI:1568926681
Name:EVEILLARD, DARNYELL (LMSW)
Entity Type:Individual
Prefix:
First Name:DARNYELL
Middle Name:
Last Name:EVEILLARD
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 1:20 S BROADWAY STE 912
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-3718
Mailing Address - Country:US
Mailing Address - Phone:914-708-6578
Mailing Address - Fax:
Practice Address - Street 1:456 NORTH ST
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-3003
Practice Address - Country:US
Practice Address - Phone:914-761-2731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY103002104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker