Individual provider Active NPI

Danya Kaye Stettler, LCSW

  • Clinical Social Worker
  • Sonora, CA
National Provider Identifier
1346452679
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00005216 Issued in WA
Practice address
13663 Mono Way # 122-Soc
Sonora, CA 95370-2811
Phone
(209) 588-2602
Fax
(209) 588-2624
NPI assigned
May 7, 2007
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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 LW00005216 WA Primary

Addresses

Primary practice location

13663 Mono Way # 122-Soc
Sonora, CA 95370-2811

Mailing address

13663 Mono Way # 122-Soc
Sonora, CA 95370-2811
Phone (209) 588-2602

Other identifiers 1

IdentifierTypeStateIssuer
LW00005216OtherWALCSW WA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20250513002477 WA Practitioner - Clinical Social Worker 1557889607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LW00005216WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince May 4, 2025 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, 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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1346452679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13663 MONO WAY # 122-SOC",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702811",
            "telephone_number": "209-588-2602",
            "fax_number": "209-588-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13663 MONO WAY # 122-SOC",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702811",
            "telephone_number": "209-588-2602",
            "fax_number": "209-588-2624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETTLER",
        "first_name": "DANYA",
        "middle_name": "KAYE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW WA",
            "identifier": "LW00005216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.