Provider Demographics
NPI:1891167359
Name:BECKER-SMOGER, DARRAY (LICSW)
Entity type:Individual
Prefix:
First Name:DARRAY
Middle Name:
Last Name:BECKER-SMOGER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38156 SKYVIEW CT N
Mailing Address - Street 2:
Mailing Address - City:CRESTON
Mailing Address - State:WA
Mailing Address - Zip Code:99147-8517
Mailing Address - Country:US
Mailing Address - Phone:858-395-2316
Mailing Address - Fax:
Practice Address - Street 1:38156 SKYVIEW CT N
Practice Address - Street 2:
Practice Address - City:CRESTON
Practice Address - State:WA
Practice Address - Zip Code:99147-8517
Practice Address - Country:US
Practice Address - Phone:858-395-2316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-23
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health