Provider Demographics
NPI:1174756191
Name:BEARD, DARLENE GIDDENS (MSW)
Entity type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:GIDDENS
Last Name:BEARD
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 MARION AVE SOUTHWEST
Mailing Address - Street 2:VAMC DEPARTMENT OF VETERAN AFFAIRS
Mailing Address - City:LAKE CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32025-5508
Mailing Address - Country:US
Mailing Address - Phone:386-755-3016
Mailing Address - Fax:386-758-3209
Practice Address - Street 1:619 S MARION AVE
Practice Address - Street 2:VAMC DEPARTMENT OF VETERAN AFFAIRS
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32025-5808
Practice Address - Country:US
Practice Address - Phone:386-755-3016
Practice Address - Fax:386-758-3209
Is Sole Proprietor?:No
Enumeration Date:2009-08-25
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker