Healthcare Provider Details

I. General information

NPI: 1205483419
Provider Name (Legal Business Name): RHONDA FARLEY MSW, LISW, LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RHONDA HALL LSW

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 11/29/2024
Certification Date: 11/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KINGS COURT
ONA WV
25545
US

IV. Provider business mailing address

1 KINGS COURT
ONA WV
25545
US

V. Phone/Fax

Practice location:
  • Phone: 614-500-3967
  • Fax:
Mailing address:
  • Phone: 304-412-7062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2405832
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: