Basic Information
| Provider Information | |||||||||
| NPI: | 1972926194 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FERRELL | ||||||||
| FirstName: | DARCEY | ||||||||
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| Credential: | MSW, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 210 2ND ST | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | SAINT MARYS | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261701097 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046842656 | ||||||||
| FaxNumber: | 3046842658 | ||||||||
| Practice Location | |||||||||
| Address1: | 2121 7TH ST | ||||||||
| Address2: | |||||||||
| City: | PARKERSBURG | ||||||||
| State: | WV | ||||||||
| PostalCode: | 261013803 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3044851721 | ||||||||
| FaxNumber: | 3044859203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2014 | ||||||||
| LastUpdateDate: | 01/23/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | AP00939227 | WV | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.