Provider Demographics
NPI:1043752405
Name:DARAMOLA, CATHERINE (LCSW)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:DARAMOLA
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 1:101 ROGERS RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-5778
Mailing Address - Country:US
Mailing Address - Phone:302-573-5073
Mailing Address - Fax:
Practice Address - Street 1:101 ROGERS RD STE 102
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-5778
Practice Address - Country:US
Practice Address - Phone:302-573-5073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ100014511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical