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1811472814 NPI number — MADISON ELIZABETH DARNELL LCSW, IEMHE-E

NPI Number: 1811472814
Health Care Provider/Practitioner: MADISON ELIZABETH DARNELL LCSW, IEMHE-E

Information about “1811472814” NPI (MADISON ELIZABETH DARNELL LCSW, IEMHE-E) exists in 1811472814 in HTML format HTML  |  1811472814 in plain Text format TXT  |  1811472814 in PDF (Portable Document Format) PDF  |  1811472814 in an XML format XML  formats.

NPI Number : 1811472814 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811472814",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DARNELL",
    "FirstName": "MADISON",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW, IEMHE-E",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DALTON",
    "OtherFirstName": "MADISON",
    "OtherMiddleName": "ELIZABETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LCSW, IEMH-E",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "375 E. HORSETOOTH RD",
    "SecondLineMailingAddress": "6-201",
    "MailingAddressCityName": "FORT COLLINS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "80525",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-657-4730",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "375 E. HORSETOOTH RD",
    "SecondLinePracticeLocationAddress": "BLDG 6, SUITE 201",
    "PracticeLocationAddressCityName": "FT. COLLINS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "80525",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "360-265-0578",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2018",
    "LastUpdateDate": "11/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": "09/10/2025",
    "NPIReactivationDate": "11/25/2025",
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "CSW.09932278",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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