Individual provider Active NPI

Darlene Marie Friend, MSW, LICSW

  • Clinical Social Worker
  • Smithfield, PA
National Provider Identifier
1205235157
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00944519 Issued in WV
Practice address
93 Main St
Smithfield, PA 15478-8900
Phone
(724) 338-8387
NPI assigned
Aug 16, 2014
Last updated
Sep 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW018394 PA
Clinical Social Worker 1041C0700X DP00944519 WV Primary

Addresses

Primary practice location

93 Main St
Smithfield, PA 15478-8900

Mailing address

12 Kaputa Way
Smithfield, PA 15478-4012
Phone (724) 338-8387

Other practice location 1

1000 Mon Health Medical Park Dr Ste 1202
Morgantown, WV 26505
Phone (304) 599-1975

Other names 1

  • Darlene Marie Mullikin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW018394PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Women in Balance, LLC PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1205235157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 KAPUTA WAY",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154784012",
            "telephone_number": "724-338-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "city": "SMITHFIELD",
            "state": "PA",
            "postal_code": "154788900",
            "telephone_number": "724-338-8387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Mon Health Medical Park Dr Ste 1202",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "26505",
            "country_code": "US",
            "telephone_number": "304-599-1975",
            "fax_number": "304-599-2705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRIEND",
        "first_name": "DARLENE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW018394",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00944519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "MULLIKIN",
            "middle_name": "MARIE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Smithfield, PA

Sources for this page

Verify at the official NPI Registry.