Provider Demographics
NPI:1982791943
Name:DARBY-O'BAR, MICHELLE A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:A
Last Name:DARBY-O'BAR
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 1:48 STOCKMAN AVE UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-1639
Mailing Address - Country:US
Mailing Address - Phone:336-306-6491
Mailing Address - Fax:
Practice Address - Street 1:48 STOCKMAN AVE UNIT 101
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-1639
Practice Address - Country:US
Practice Address - Phone:336-528-4370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0092381041C0700X
MELC99781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical