Garner, Darrell Thomas

Garner, Darrell Thomas is an individual health care provider with primary practice located at 865 W Lake Dr , Mount Airy NC 27030-2157. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Garner, Darrell Thomas can be contacted via phone (336) 786-7199.

Contact Information

Primary practice address
865 W Lake Dr Mount Airy NC 27030-2157
Phone: (336) 786-7199
Fax: (336) 351-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001190 North Carolina

Profile Details

NPI number 1194795260
LBN Legal business name Garner, Darrell Thomas
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Oct 27th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194795260 NPPES
Virginia MEDICAID 10097525
Virginia Other 2031578
Virginia MEDICAID 6002453
Virginia Other B5140
Virginia Other 12840
Virginia Other 6223730
Virginia Other 1174Y
Virginia Other 460508
Virginia Other 308914

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