Danna R. Bodenheimer, LCSW, DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016319 Issued in PA

Practice address

1616 Walnut St
Suite 1610
Philadelphia, PA 19103-5313

Phone

(215) 520-5344

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walnut Psychotherapy Center

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1659749497
  NPD (past)

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1366750515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 WALNUT ST",
            "address_2": "SUITE 1610",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035313",
            "telephone_number": "215-520-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WALNUT ST",
            "address_2": "SUITE 1610",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035313",
            "telephone_number": "215-520-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENHEIMER",
        "first_name": "DANNA",
        "middle_name": "R.",
        "credential": "LCSW, DSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Emery Boczar, MD
• Christopher Scott Bodden, MD
• Raja Srinivas Boddepalli
• Michael Friedrich Johannes Bode, M.D.
• Matthew Gafni Boden, MD
• Paul Brown Bodhise, DC
• Jessica Elizabeth Bodie, PHD
• Tiana Bodison, CRNP
• Cassandra Lynn Bodnar
• Wendy Bodnaruk, LPC

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.