Active NPI
Danny D. Eller, LCSW
- Clinical Social Worker
- Frisco, TX
National Provider Identifier
1376826966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 59340
- Practice address
- 4645 Avon LN Ste 255
Frisco, TX 75033-1212 - Phone
- (469) 305-2480
- NPI assigned
- Sep 21, 2011
- Last updated
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 59340 | TX | Primary |
Addresses
Primary practice location
4645 Avon LN Ste 255
Frisco, TX 75033-1212
Mailing address
4645 Avon LN Ste 255
Frisco, TX 75033-1212
Phone (469) 305-2480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Indiana University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
230 Mosaic Blvd
Suite 45
Pittsboro, NC 27312-4947
Phone (469) 305-2480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59340 | TX | MD | Clinical Social Worker |
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": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560729600000",
"number": "1376826966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4645 AVON LN STE 255",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331212",
"telephone_number": "469-305-2480"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4645 AVON LN STE 255",
"city": "FRISCO",
"state": "TX",
"postal_code": "750331212",
"telephone_number": "469-305-2480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLER",
"first_name": "DANNY",
"middle_name": "D.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2019-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "59340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frisco, TX
- Elitecare Medical Transportation LLC
- Elizabeth Blair Goodall DDS PLLC (More Than Smiles Pediatric Dentistry)
- Sydney Rae Ellason
- Swati Ellendula, M.D.
- Eller Therapy & Counseling PLLC
- Kristy Joye Elliff, PT, DPT
- Jacqueline Elliott, RN
- Joshua Byron Elliott, LAT, DC
- Tracy Haymann Elliott, M.D.
- Davy John Ellis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.