Provider Demographics
NPI:1861485237
Name:DARROW, DANA G (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANA
Middle Name:G
Last Name:DARROW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DANA
Other - Middle Name:G
Other - Last Name:PINNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW
Mailing Address - Street 1:3406 SMITH AVE, SE
Mailing Address - Street 2:APT C
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106
Mailing Address - Country:US
Mailing Address - Phone:505-692-3327
Mailing Address - Fax:505-753-5815
Practice Address - Street 1:3536 ANDERSON AVE, SE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106
Practice Address - Country:US
Practice Address - Phone:505-692-3327
Practice Address - Fax:505-753-8373
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2024-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-055561041C0700X
NMC-055561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM66572355Medicaid