Provider Demographics
NPI:1972657476
Name:LASSEGARD, DARCY ANN (MSW CSW)
Entity Type:Individual
Prefix:MS
First Name:DARCY
Middle Name:ANN
Last Name:LASSEGARD
Suffix:
Gender:F
Credentials:MSW CSW
Other - Prefix:MS
Other - First Name:DARCY
Other - Middle Name:ANN
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW CSW PIP
Mailing Address - Street 1:PO BOX 89306
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57109
Mailing Address - Country:US
Mailing Address - Phone:605-334-1414
Mailing Address - Fax:605-335-3121
Practice Address - Street 1:1401 W 51ST STREET
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-334-1414
Practice Address - Fax:605-335-3121
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1621104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker