Powell, Darren

Powell, Darren is an individual health care provider with primary practice located at 1001 W Broadway Ste D , Farmington NM 87401-5638. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Powell, Darren can be contacted via phone (505) 325-0238.

Contact Information

Primary practice address
1001 W Broadway Ste D Farmington NM 87401-5638
Phone: (505) 325-0238
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CSW09923200 Colorado
Behavioral Health & Social Service Providers / Mental Health 101YM0800X I-05932 New Mexico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C-09887 New Mexico
Behavioral Health & Social Service Providers / Clinical 1041C0700X C-09887 New Mexico

Profile Details

NPI number 1336132356
LBN Legal business name Powell, Darren
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 3rd, 2019 - 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 1336132356 NPPES
New Mexico MEDICAID 66523885

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