Provider Demographics
NPI:1649660333
Name:DARDEN, LASHIELA (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LASHIELA
Middle Name:
Last Name:DARDEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:CLIO
Mailing Address - State:MI
Mailing Address - Zip Code:48420-1134
Mailing Address - Country:US
Mailing Address - Phone:810-686-7313
Mailing Address - Fax:
Practice Address - Street 1:740 CENTER ST
Practice Address - Street 2:
Practice Address - City:CLIO
Practice Address - State:MI
Practice Address - Zip Code:48420-1134
Practice Address - Country:US
Practice Address - Phone:810-250-4821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-02
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI8010874221041C0700X
MI6801087422104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical