Doctor Name: | MISS DARA M CONCEPCION |
NPI Number: | 1003245465 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | |
Business Practice Address: | 217 Main St Florence, KY - 410422015 |
Business Phone Number: | 8593914466 |
Business Fax Number: | |
Mailing Address: | 900 Beasley St, Ste 120 LEXINGTON |
State: | KY |
Postal Code: | 405094266 |
Phone Number: | 8593914466 |
Fax Number: | 8592542075 |
NPI Enumeration Date: | 11/06/2013 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |