Provider Demographics
NPI:1710675350
Name:SMITH, DARLENA KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:DARLENA
Middle Name:KAY
Last Name:SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 GUTHRIE DR
Mailing Address - Street 2:
Mailing Address - City:BARDSTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40004-2170
Mailing Address - Country:US
Mailing Address - Phone:502-249-9617
Mailing Address - Fax:
Practice Address - Street 1:251 GUTHRIE DR
Practice Address - Street 2:
Practice Address - City:BARDSTOWN
Practice Address - State:KY
Practice Address - Zip Code:40004-2170
Practice Address - Country:US
Practice Address - Phone:502-249-9617
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-01
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical