Individual provider Active NPI

Danielle Miller Hajdini, LCSW

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1194344655
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007037 Issued in GA
Practice address
1744 Roswell Rd Ste 215
Marietta, GA 30062-3979
Phone
(678) 310-0358
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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 CSW007037 GA Primary

Addresses

Primary practice location

1744 Roswell Rd Ste 215
Marietta, GA 30062-3979

Mailing address

3400 Paisley Trce NW
Kennesaw, GA 30152-6952
Phone (316) 249-3969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 16, 2024 through Jul 16, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CSW007037GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Counseling LLC PastSince Apr 19, 2020 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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1194344655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 PAISLEY TRCE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526952",
            "telephone_number": "316-249-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 ROSWELL RD STE 215",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623979",
            "telephone_number": "678-310-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJDINI",
        "first_name": "DANIELLE",
        "middle_name": "MILLER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.