Provider Demographics
NPI:1265141147
Name:DARIUS, MARIE YVONNE (LCSW)
Entity type:Individual
Prefix:MS
First Name:MARIE
Middle Name:YVONNE
Last Name:DARIUS
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 1:30 MARTENSE ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-3228
Mailing Address - Country:US
Mailing Address - Phone:347-693-7839
Mailing Address - Fax:
Practice Address - Street 1:30 MARTENSE ST APT 1D
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-3228
Practice Address - Country:US
Practice Address - Phone:134-769-3783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY071746-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical