Provider Demographics
NPI:1972138162
Name:DARLING-ELLER, ANGELA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:LYNN
Last Name:DARLING-ELLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:DARLING-ELLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8775 EVELYN WAY
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:16441-4059
Mailing Address - Country:US
Mailing Address - Phone:814-490-1218
Mailing Address - Fax:
Practice Address - Street 1:201 W 11TH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-1701
Practice Address - Country:US
Practice Address - Phone:814-487-5769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-08
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131052104100000X
PACW0245671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker