Provider Demographics
NPI:1205483419
Name:FARLEY, RHONDA (MSW, LISW, LICSW)
Entity type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:
Last Name:FARLEY
Suffix:
Gender:F
Credentials:MSW, LISW, LICSW
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1 KINGS COURT
Mailing Address - Street 2:
Mailing Address - City:ONA
Mailing Address - State:WV
Mailing Address - Zip Code:25545
Mailing Address - Country:US
Mailing Address - Phone:304-412-7062
Mailing Address - Fax:
Practice Address - Street 1:1 KINGS COURT
Practice Address - Street 2:
Practice Address - City:ONA
Practice Address - State:WV
Practice Address - Zip Code:25545
Practice Address - Country:US
Practice Address - Phone:614-500-3967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.24058321041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker