Provider Demographics
NPI:1578050332
Name:OCANSEY, DARLINGTON (LCSW)
Entity Type:Individual
Prefix:
First Name:DARLINGTON
Middle Name:
Last Name:OCANSEY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 LAKE DOW RD STE T-300
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-3643
Mailing Address - Country:US
Mailing Address - Phone:848-391-1232
Mailing Address - Fax:
Practice Address - Street 1:1720 LAKE DOW RD STE T-300
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30252-3643
Practice Address - Country:US
Practice Address - Phone:848-391-1232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-17
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056819001041C0700X
GACSW0061481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical