Individual provider Active NPI

Dannielle S Wilmot, LSW

  • Clinical Social Worker
  • Honesdale, PA
National Provider Identifier
1144632332
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW025205 Issued in PA
Practice address
600 Maple Ave Ste 15
Honesdale, PA 18431-1460
Phone
(570) 253-8219
NPI assigned
May 22, 2014
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW025205 PA Primary

Addresses

Primary practice location

600 Maple Ave Ste 15
Honesdale, PA 18431-1460

Mailing address

1838 Fair Ave
Honesdale, PA 18431-2122
Phone (570) 241-4731

Other practice location 1

616 Main St Ste 303
Honesdale, PA 18431-1871
Phone (570) 540-2697

Other names 1

  • Ms. Dannielle S Hafler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20240803000447 PA Practitioner - Clinical Social Worker 8325585664 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW025205PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Memorial Community Health Centers CurrentSince Jul 23, 2024 Accepting new patients
Wayne Memorial Community Health Centers Clinical CurrentSince Jul 23, 2024 Accepting new patients

Locations

600 Maple Ave
Ste 15
Honesdale, PA 18431
Phone (570) 253-8219

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1144632332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 FAIR AVE",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184312122",
            "telephone_number": "570-241-4731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAPLE AVE STE 15",
            "city": "HONESDALE",
            "state": "PA",
            "postal_code": "184311460",
            "telephone_number": "570-253-8219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "616 Main St Ste 303",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311871",
            "country_code": "US",
            "telephone_number": "570-540-2697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILMOT",
        "first_name": "DANNIELLE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW025205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNIELLE",
            "last_name": "HAFLER",
            "middle_name": "S",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honesdale, PA

Sources for this page

Verify at the official NPI Registry.