Danielle Broyles, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018992 Issued in NC

Practice address

922 East Blvd
Charlotte, NC 28203-5204

Phone

(704) 651-5658

NPI assigned

Aug 18, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1063295384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 WHITMYRE CT",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297155809",
            "telephone_number": "704-918-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 EAST BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035204",
            "telephone_number": "704-651-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROYLES",
        "first_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Bernard Browning II, PHARMD
• Matthew Browning
• Robert Calvin Brownlee IV, MD
• Margaret McDaniel Brownlow, LCSW
• Britney Summer Broyhill, NP
• Robert Steven Brtalik Jr., D.P.T.
• Tracey Anne Brubaker, LCSW, CMSW
• Channing Bruce
• Ellen Raeburn Bruce, M.S., OTR&L
• Joel E Bruce, M.D.

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.