Provider Demographics
NPI:1952108029
Name:ACKERMAN, DARCI J (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DARCI
Middle Name:J
Last Name:ACKERMAN
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:DARCI
Other - Middle Name:J
Other - Last Name:HERRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1357 COUNTY HIGHWAY 13
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:NY
Mailing Address - Zip Code:13411-4705
Mailing Address - Country:US
Mailing Address - Phone:607-242-7077
Mailing Address - Fax:
Practice Address - Street 1:46 BIRDSALL ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778-1049
Practice Address - Country:US
Practice Address - Phone:607-242-7077
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY106199104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker