Provider Demographics
NPI:1801614029
Name:DARRETT, CHEARON M (LCSW)
Entity type:Individual
Prefix:
First Name:CHEARON
Middle Name:M
Last Name:DARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7341 VANOVER DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-9684
Mailing Address - Country:US
Mailing Address - Phone:812-430-6058
Mailing Address - Fax:
Practice Address - Street 1:7341 VANOVER DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-9684
Practice Address - Country:US
Practice Address - Phone:812-430-6058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY36031041C0700X
NCC0164731041C0700X
IN34006244A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical