Active NPI
Danielle Whalen, LMSW-CLINICAL
- Clinical Social Worker
- East Tawas, MI
National Provider Identifier
1114570322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801104898
- Practice address
- 129 Newman St
East Tawas, MI 48730-1209 - Phone
- (989) 310-5100
- Fax
- (989) 310-5101
- NPI assigned
- Jul 17, 2019
- 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 | 6801104898 | MI | Primary |
Addresses
Primary practice location
129 Newman St
East Tawas, MI 48730-1209
Mailing address
886 Monument Rd
Tawas City, MI 48763-9280
Phone (757) 339-7069
Other names 1
- Danielle Bartleson
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 |
|---|---|---|---|
| 6801104898 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whalen Counseling & Consultation | Current | Accepting new patients |
Locations
129 Newman St
East Tawas, MI 48730
Phone (989) 310-5100
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Tawas, MI
- NPI 1205489317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1114570322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "886 MONUMENT RD",
"city": "TAWAS CITY",
"state": "MI",
"postal_code": "487639280",
"telephone_number": "757-339-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 NEWMAN ST",
"city": "EAST TAWAS",
"state": "MI",
"postal_code": "487301209",
"telephone_number": "989-310-5100",
"fax_number": "989-310-5101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHALEN",
"first_name": "DANIELLE",
"credential": "LMSW-CLINICAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801104898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "BARTLESON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in East Tawas, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.