Dannielle Marie Fladten White, LICSW, CPRP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18463 Issued in MN

Practice address

312 County Road D E
Little Canada, MN 55117-1275

Phone

(651) 600-7876

NPI assigned

Sep 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dannielle Marie Fladten Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

University of Minnesota Medical School, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Life on Purpose Counseling and Neurofeedback IncGroup PAC ID 2466712997, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Life on Purpose Counseling & Neurofeedback Inc

  • Clinical Social Worker
  • Little Canada, MN
  • NPI 1942708573
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521936000000",
    "number": "1114353174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 COUNTY ROAD D E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171275",
            "telephone_number": "651-600-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 COUNTY ROAD D E",
            "city": "LITTLE CANADA",
            "state": "MN",
            "postal_code": "551171275",
            "telephone_number": "651-600-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DANNIELLE",
        "middle_name": "MARIE FLADTEN",
        "name_prefix": "Mrs.",
        "credential": "LICSW, CPRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-23",
        "last_updated": "2018-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114353174",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNIELLE",
            "last_name": "FLADTEN",
            "middle_name": "MARIE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Uptop Community Services LLC
• Nicholas Vang
• Nicole Pelletti Vanoeveren, CCC-SLP
• Voos Behavioral Health Services
• Erin Weathers, MA, CF-SLP
• Belaynesh Woldemariam
• Jun Xiao, MD
• Mai T Yang
• Morgan Youngquist, SLP
• Scott Gary Youngstrand, OTR

• Clinical Social Worker in Little Canada, MN
• Providers in Little Canada, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.