Basic Information
Provider Information
NPI: 1073265187
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: D'ARMS
FirstName: LETICIA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: MSW, LGSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5722 CABIN CREEK RD
Address2:  
City: DAWES
State: WV
PostalCode: 250547700
CountryCode: US
TelephoneNumber: 3045955005
FaxNumber: 3045955007
Practice Location
Address1: 104 ALEX LN
Address2:  
City: CHARLESTON
State: WV
PostalCode: 253042952
CountryCode: US
TelephoneNumber: 3047342040
FaxNumber: 3047342047
Other Information
ProviderEnumerationDate: 01/20/2022
LastUpdateDate: 01/27/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/21/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XBP00946137WVY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


Home