Active NPI
Deborah Lynn Daniel, L.C.S.W.
- Clinical Social Worker
- Midlothian, VA
National Provider Identifier
1104907104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904002044
- Practice address
- 1133 Jefferson Green Cir
Midlothian, VA 23113-4300 - Phone
- (804) 717-1111
- Fax
- (804) 717-1185
- NPI assigned
- Oct 17, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2044 | VA | |
| Clinical Social Worker | 1041C0700X | 0904002044 | VA | Primary |
Addresses
Primary practice location
1133 Jefferson Green Cir
Midlothian, VA 23113-4300
Mailing address
PO Box 555
Midlothian, VA 23113-0555
Phone (804) 717-1111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104907104 | Medicaid | VA | |
| 190000809 | Other | VA | MEDICARE |
Other names 1
- Mrs. Deborah Lynn Daniel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2044 | VA | MD | Mental Health Counselor |
| 0904002044 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerment Counseling, LLC | Clinical | Current | Accepting new patients |
| Three Rivers Treatment Center LLC | Past | Accepting new patients | |
| Central Virginia Family Psychiatry PC | Past | Accepting new patients | |
| Virginia South Psychiatric & Family Services | Past | Accepting new patients |
Locations
1133 Jefferson Green Cir
Midlothian, VA 23113
Phone (804) 717-1111
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72142
Organizations & group practices 5
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.
-
- Psychiatric Hospital Unit
- Midlothian, VA
- NPI 1134452782
-
- Clinical Social Worker
- Midlothian, VA
- NPI 1003307570
-
- Cognitive & Behavioral Psychologist
- Petersburg, VA
- NPI 1477512416
-
- Psychiatric Residential Treatment Facility
- Kenbridge, VA
- NPI 1568827780
-
- Psychiatry Physician
- Petersburg, VA
- NPI 1700894466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324166400000",
"number": "1104907104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 555",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231130555",
"telephone_number": "804-717-1111",
"fax_number": "804-717-1185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 JEFFERSON GREEN CIR",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231134300",
"telephone_number": "804-717-1111",
"fax_number": "804-717-1185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIEL",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-17",
"last_updated": "2011-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "2044",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904002044",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104907104",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "190000809",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "DANIEL",
"middle_name": "LYNN",
"prefix": "MRS.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.