Provider Demographics
NPI:1205235157
Name:FRIEND, DARLENE MARIE (MSW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:MARIE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:DARLENE
Other - Middle Name:MARIE
Other - Last Name:MULLIKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:12 KAPUTA WAY
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:15478-4012
Mailing Address - Country:US
Mailing Address - Phone:724-338-8387
Mailing Address - Fax:
Practice Address - Street 1:93 MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:PA
Practice Address - Zip Code:15478-8900
Practice Address - Country:US
Practice Address - Phone:724-338-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-16
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0183941041C0700X
WVDP009445191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical