Active NPI
Danielle Falk
- Clinical Social Worker
- Gastonia, NC
National Provider Identifier
1013416346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P016394
- Practice address
- 2550 Court Dr Ste 103
Gastonia, NC 28054-2152 - Phone
- (704) 215-5822
- NPI assigned
- Feb 1, 2018
- Sex
- Female
- 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 | P016394 | NC | Primary |
Addresses
Primary practice location
2550 Court Dr Ste 103
Gastonia, NC 28054-2152
Mailing address
741 Little Bluestem Dr
Clover, SC 29710-4217
Phone (630) 542-0189
Other practice location 1
111 N County Farm Rd
Wheaton, IL 60187-3977
Phone (630) 682-7400
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 |
|---|---|---|---|
| P016394 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1013416346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 LITTLE BLUESTEM DR",
"city": "CLOVER",
"state": "SC",
"postal_code": "297104217",
"telephone_number": "630-542-0189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 COURT DR STE 103",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542152",
"telephone_number": "704-215-5822"
}
],
"practiceLocations": [
{
"address_1": "111 N County Farm Rd",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601873977",
"country_code": "US",
"telephone_number": "630-682-7400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FALK",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-01",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P016394",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
- Christina Faircloth
- Faith Hope & Love Community Enrichment Ministries
- Faith Hope and Love Community Enrichment Ministries
- Faith Prosthetic-Orthotic Services, Inc.
- Faithful Hands Home Care Services Inc
- Chasiti Jordan Falls, CNM
- Lin Martish Fambro, LCAS-A
- Familiy Works Inc.
- Family Behavioral Health Services, Inc
- Family Crisis Support
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.