Active NPI
Jeffrey Robert Darnell, LCSW
- Clinical Social Worker
- Tomah, WI
National Provider Identifier
1922063965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 989488
- Practice address
- 500 E Veterans St
425/7
Tomah, WI 54660-3105 - Phone
- (800) 872-8662
- Fax
- (608) 372-1779
- NPI assigned
- Apr 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 989488 | CO | |
| Clinical Social Worker | 1041C0700X | 989488 | CO | Primary |
Addresses
Primary practice location
500 E Veterans St
425/7
Tomah, WI 54660-3105
Mailing address
24691 Embay Ave
Apt B
Tomah, WI 54660-4345
Phone (800) 872-8662
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 |
|---|---|---|---|
| 989488 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272412800000",
"number": "1922063965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24691 EMBAY AVE",
"address_2": "APT B",
"city": "TOMAH",
"state": "WI",
"postal_code": "546604345",
"telephone_number": "800-872-8662",
"fax_number": "608-372-1779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E VETERANS ST",
"address_2": "425/7",
"city": "TOMAH",
"state": "WI",
"postal_code": "546603105",
"telephone_number": "800-872-8662",
"fax_number": "608-372-1779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARNELL",
"first_name": "JEFFREY",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2010-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "989488",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "989488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tomah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.