Active NPI
Marla Joy Dann, LCSW
- Clinical Social Worker
- Sanford, FL
National Provider Identifier
1194152009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8606
- Practice address
- 404 W 25TH St
Sanford, FL 32771-4422 - Phone
- (407) 322-7779
- Fax
- (407) 322-7795
- NPI assigned
- Oct 9, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAP 2074 | FL | |
| Clinical Social Worker | 1041C0700X | SW8606 | FL | Primary |
Addresses
Primary practice location
404 W 25TH St
Sanford, FL 32771-4422
Mailing address
404 W 25TH St.
Sanford, FL 32771
Phone (407) 322-7779
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 |
|---|---|---|---|
| CAP 2074 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| SW8606 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Connections Inc | Addiction (Substance Use Disorder) | Past | 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.
-
- Addiction (Substance Use Disorder) Counselor
- Sanford, FL
- NPI 1396865515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1194152009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 W 25TH ST.",
"city": "SANFORD",
"state": "FL",
"postal_code": "32771",
"telephone_number": "407-322-7779",
"fax_number": "407-322-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 W 25TH ST",
"city": "SANFORD",
"state": "FL",
"postal_code": "327714422",
"telephone_number": "407-322-7779",
"fax_number": "407-322-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANN",
"first_name": "MARLA",
"middle_name": "JOY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-09",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAP 2074",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sanford, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.