Provider Demographics
NPI:1851957203
Name:MCCARROLL, DARRYL GERARD (MSW/LCSW-A)
Entity Type:Individual
Prefix:
First Name:DARRYL
Middle Name:GERARD
Last Name:MCCARROLL
Suffix:
Gender:M
Credentials:MSW/LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 HOLBROOK AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-2448
Mailing Address - Country:US
Mailing Address - Phone:336-987-0333
Mailing Address - Fax:
Practice Address - Street 1:110 JUNE ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-4010
Practice Address - Country:US
Practice Address - Phone:336-987-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical