Individual provider Active NPI

Danielle Marble, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1255731881
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
000124951 Issued in MA
Practice address
145 South St
Northampton, MA 01060-4017
Phone
(413) 409-9213
NPI assigned
Sep 2, 2014
Last updated
Aug 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 000124951 MA Primary

Addresses

Primary practice location

145 South St
Northampton, MA 01060-4017

Mailing address

145 South St
Northampton, MA 01060-4017
Phone (413) 409-9213

Other practice location 1

1695 Main St
Springfield, MA 01103-1348
Phone (413) 739-5572 ext. 179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20221219000961 MA Practitioner - Clinical Social Worker 1658740444 Practice locations: Easthampton, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000124951MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Rainbow Mental Health, PLLC Clinical CurrentSince May 21, 2023 Accepting new patients

Locations

123 Union St
Ste 101
Easthampton, MA 01027
Phone (413) 341-0143

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, 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": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1255731881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604017",
            "telephone_number": "413-409-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 SOUTH ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604017",
            "telephone_number": "413-409-9213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1695 Main St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011031348",
            "country_code": "US",
            "telephone_number": "413-739-5572 x179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARBLE",
        "first_name": "DANIELLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "000124951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.