Provider Demographics
NPI:1598704439
Name:WILLER, DARLYS E (MSW)
Entity Type:Individual
Prefix:
First Name:DARLYS
Middle Name:E
Last Name:WILLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 E IRON AVE
Mailing Address - Street 2:STE D
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2697
Mailing Address - Country:US
Mailing Address - Phone:785-827-2600
Mailing Address - Fax:785-309-0184
Practice Address - Street 1:645 E IRON AVE
Practice Address - Street 2:STE D
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2697
Practice Address - Country:US
Practice Address - Phone:785-827-2600
Practice Address - Fax:785-309-0184
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW 06641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS32749OtherCIGNA
KS011306OtherBLUE CROSS BLUE SHIELD
KS92110OtherMANAGED HEALTH NETWORK
KS011306Medicare PIN