Provider Demographics
NPI:1063705770
Name:DARWIN, HOLLY (LCSW)
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:
Last Name:DARWIN
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 1:16595 N STALLION PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85739-9656
Mailing Address - Country:US
Mailing Address - Phone:520-327-4505
Mailing Address - Fax:520-202-1889
Practice Address - Street 1:7400 N ORACLE RD
Practice Address - Street 2:STE 162H
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-6583
Practice Address - Country:US
Practice Address - Phone:520-979-5606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-27
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-1030211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical