Ellen Dannevik, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

61863 Issued in TX

Practice address

1221 W Ben White Blvd Ste 200B
Austin, TX 78704-7002

Phone

(512) 524-9249

NPI assigned

Dec 18, 2018

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1366914152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E UNIVERSITY AVE STE 200",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266821",
            "telephone_number": "512-686-0207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W BEN WHITE BLVD STE 200B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787047002",
            "telephone_number": "512-524-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNEVIK",
        "first_name": "ELLEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "61863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ellen.dannevik.p1@direct.lscctx.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1221 W Ben White Blvd Ste 200B",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787047002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Terry Danielson, PHD
• Daria Denisovna Danilenko, RPH
• Danina L Culver
• Nilesh Dhirubhai Dankhara, M.D.
• Teresa Danner, OTR, CPST
• Christopher Marc Danney, M.D.
• Jaculeen Ann Dano, M.D.
• Linda M Danz
• Leah Danze, LPC, ATR-BC
• Ashley Marissa Dao, M.D.

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.