Individual provider Active NPI

Danielle Weiss, LICSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1154883841
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
125820 Issued in MA
Practice address
3752 N Sheffield Ave Apt 3S
Chicago, IL 60613-0305
Phone
(708) 630-1534
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 100757-1 NY
Clinical Social Worker 1041C0700X 125820 MA Primary

Addresses

Primary practice location

3752 N Sheffield Ave Apt 3S
Chicago, IL 60613-0305

Mailing address

5030 Broadway Ste 201
New York, NY 10034-1615

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.synapticure.com/for-clinicians

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100757-1NYMDSocial Worker
125820MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Ferluga, M.D., P.C. PastSince Jul 2, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1154883841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3752 N SHEFFIELD AVE APT 3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606130305",
            "telephone_number": "708-630-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "100757-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "125820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.synapticure.com/for-clinicians",
            "affiliation": "N",
            "address_1": "3752 N Sheffield Ave Apt 3S",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606130305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.