Active NPI
Darnell Lollis
- Clinical Social Worker
- Mount Vernon, WA
National Provider Identifier
1720503584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60739879
- Practice address
- 1100 S 2ND St # 2
Mount Vernon, WA 98273-4209 - Phone
- (425) 349-6200
- NPI assigned
- Aug 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60739879 | WA | Primary |
Addresses
Primary practice location
1100 S 2ND St # 2
Mount Vernon, WA 98273-4209
Mailing address
1100 S 2ND St # 2
Mount Vernon, WA 98273-4209
Phone (425) 319-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60739879 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508025600000",
"number": "1720503584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 S 2ND ST # 2",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734209",
"telephone_number": "425-319-1242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 S 2ND ST # 2",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982734209",
"telephone_number": "425-349-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOLLIS",
"first_name": "DARNELL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-13",
"last_updated": "2017-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60739879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.