Provider Demographics
NPI:1316489768
Name:TESTA, DARBY LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:DARBY
Middle Name:LYNN
Last Name:TESTA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:DARBY
Other - Middle Name:LYNN
Other - Last Name:MONKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:513 CABOT WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1015
Mailing Address - Country:US
Mailing Address - Phone:470-217-5339
Mailing Address - Fax:
Practice Address - Street 1:175 GWINNETT DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8444
Practice Address - Country:US
Practice Address - Phone:678-209-2394
Practice Address - Fax:678-212-6343
Is Sole Proprietor?:No
Enumeration Date:2016-11-15
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0059181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical