Inna Danieli LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05527800 Issued in NJ

Legal business name

INNA DANIELI LCSW, LLC

Practice address

1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824

Phone

(917) 363-6302

NPI assigned

Dec 15, 2012

Last updated

Aug 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Inna Danieli, LCSWNPI 1447595210

Title

President

Phone

(917) 363-6302

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Inna Danieli, LCSW

  • Clinical Social Worker
  • Teaneck, NJ
  • NPI 1447595210
  Authorized official Same address or phone

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407628800000",
    "number": "1124364351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 LYDECKER ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311914",
            "telephone_number": "917-363-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "address_2": "SUITE 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "917-363-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNA DANIELI LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-15",
        "last_updated": "2014-08-10",
        "status": "A",
        "authorized_official_last_name": "DANIELI",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-363-6302",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05527800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.