Basic Information
Provider Information
NPI: 1346382587
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: GRIFFITH
FirstName: DARLA
MiddleName:  
NamePrefix: MRS.
NameSuffix:  
Credential: B.S.W.,M.S.W.,L.CSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 711 N COURT ST STE B
Address2:  
City: VISALIA
State: CA
PostalCode: 932913638
CountryCode: US
TelephoneNumber: 5596271490
FaxNumber:  
Practice Location
Address1: 711 N COURT ST STE B
Address2:  
City: VISALIA
State: CA
PostalCode: 932913638
CountryCode: US
TelephoneNumber: 5596271490
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2007
LastUpdateDate: 04/18/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/18/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XLCSW25712CAY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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