Danielle Kleczkowski, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

10746 Issued in CT

Practice address

769 Newfield St Ste 2
Middletown, CT 06457-1846

Phone

(860) 767-0533

NPI assigned

Oct 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• State of Connecticut

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1427074426
  Medicare reassignment
• Sound Counseling Center LLC

  • Community/Behavioral Health Agency
  • Essex, CT
  • NPI 1578833760
  NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1194366658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SAYBROOK RD",
            "city": "ESSEX",
            "state": "CT",
            "postal_code": "064261401",
            "telephone_number": "860-575-1671",
            "fax_number": "866-706-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "769 NEWFIELD ST STE 2",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064571846",
            "telephone_number": "860-767-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLECZKOWSKI",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "10746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicola Kiptoo, RN
• Margaret Kirkpatrick, LCSW
• Melissa Katherine Kish
• Sheila Anne Kistler, LCSW
• Dana Ufnal Kivlin, D.O.
• Michele D Kleiman
• Ronald Klemba, LMFT
• Lawrence Peter Kleuser III, M.D.
• Keri Ann Klink, PA-C
• Marina Kloyzner, M.D.

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.