Individual provider Active NPI

Danielle Lee Antonini, MSW/LSW

  • Clinical Social Worker
  • Wilkes Barre, PA
National Provider Identifier
1083388508
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW132592 Issued in PA
Practice address
335 S Franklin St
Wilkes Barre, PA 18702-3808
Phone
(570) 825-6425
NPI assigned
Aug 7, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW132592 PA Primary

Addresses

Primary practice location

335 S Franklin St
Wilkes Barre, PA 18702-3808

Mailing address

61 Morgan St
Nanticoke, PA 18634-1021
Phone (570) 704-9270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509002492 PA Practitioner - Clinical Social Worker 1052777463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132592PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Service Center of Wyoming Valley, Inc Clinical Current Accepting new patients
Children'S Service Center of Wyoming Valley, Inc CurrentSince Mar 7, 2023 Accepting new patients

Locations

133 W Tioga St
Tunkhannock, PA 18657
Phone (570) 836-2722

335 S Franklin St
Wilkes Barre, PA 18702
Phone (570) 825-6425

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1083388508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 MORGAN ST",
            "city": "NANTICOKE",
            "state": "PA",
            "postal_code": "186341021",
            "telephone_number": "570-704-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S FRANKLIN ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023808",
            "telephone_number": "570-825-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONINI",
        "first_name": "DANIELLE",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "MSW/LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW132592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

Verify at the official NPI Registry.