Provider Demographics
NPI:1619278116
Name:DARDEN, ANDREA LANALLE (DSW, LISW-CP)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:LANALLE
Last Name:DARDEN
Suffix:
Gender:F
Credentials:DSW, LISW-CP
Other - Prefix:DR
Other - First Name:ANDREA
Other - Middle Name:LANALLE
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2404 CARDINGTON DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209-3212
Mailing Address - Country:US
Mailing Address - Phone:803-881-4673
Mailing Address - Fax:803-814-2836
Practice Address - Street 1:4464 DEVINE ST
Practice Address - Street 2:STE M #1308
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205
Practice Address - Country:US
Practice Address - Phone:803-881-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-15
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCSW.14438CP1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical