Provider Demographics
NPI:1649989351
Name:NISBETT, DARIEN LEE (ACSW)
Entity type:Individual
Prefix:MISS
First Name:DARIEN
Middle Name:LEE
Last Name:NISBETT
Suffix:
Gender:F
Credentials:ACSW
Other - Prefix:MRS
Other - First Name:DARIEN
Other - Middle Name:LEE
Other - Last Name:HOM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACSW
Mailing Address - Street 1:1109 E ST
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-2201
Mailing Address - Country:US
Mailing Address - Phone:925-383-0706
Mailing Address - Fax:
Practice Address - Street 1:1109 E ST
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-2201
Practice Address - Country:US
Practice Address - Phone:925-383-0706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical