Provider Demographics
NPI:1194275487
Name:DARNELL, SHARON (CSW)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:DARNELL
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 N DIXIE HWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-4649
Mailing Address - Country:US
Mailing Address - Phone:270-766-1397
Mailing Address - Fax:270-735-9848
Practice Address - Street 1:4000 N DIXIE HWY
Practice Address - Street 2:SUITE 6
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-4649
Practice Address - Country:US
Practice Address - Phone:270-766-1397
Practice Address - Fax:270-735-9848
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2521681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical