Provider Demographics
NPI:1861897977
Name:DELEON, DARCIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DARCIE
Middle Name:
Last Name:DELEON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2583 E 3700 N
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-0144
Mailing Address - Country:US
Mailing Address - Phone:208-358-2227
Mailing Address - Fax:
Practice Address - Street 1:2583 E 3700 N
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-0144
Practice Address - Country:US
Practice Address - Phone:208-358-2227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMSW-338321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical