Organization Active NPI

Inna Danieli LCSW, LLC

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1124364351
Registry record updated Aug 10, 2014
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2014

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

Authorized official

Name
Mrs. Inna Danieli, LCSW
Title
President
Phone
(917) 363-6302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05527800 NJ Primary

Addresses

Primary practice location

1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824

Mailing address

416 Lydecker St
Englewood, NJ 07631-1914
Phone (917) 363-6302

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in Teaneck, NJ

Sources for this page

  • 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.