Provider Demographics
NPI:1447027321
Name:DARLING, LISA ANN (LSW)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:DARLING
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 SPRAY AVE
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08722-4420
Mailing Address - Country:US
Mailing Address - Phone:908-910-8127
Mailing Address - Fax:
Practice Address - Street 1:1116 SPRAY AVE
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08722-4420
Practice Address - Country:US
Practice Address - Phone:908-910-8127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07026900104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker