Peter Hamblin Dangerfield, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4115 E Valley Auto Dr Ste 204
Mesa, AZ 85206

Phone

(480) 745-5552

NPI assigned

Aug 12, 2013

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1376976589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064612",
            "telephone_number": "480-745-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 E VALLEY AUTO DR STE 204",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85206",
            "telephone_number": "480-745-5552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1166 E Warner Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963064",
            "country_code": "US",
            "telephone_number": "480-745-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANGERFIELD",
        "first_name": "PETER",
        "middle_name": "HAMBLIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Daml-Budig, RDN
• Lawrence John Damore II, M.D.
• Kristin Nicole Damron
• Yakaiyastai K Dan
• Dana Landing Urgent Care LLC
• Daniel J Kinkead PC
• Amelia E Daniels, MT-BC
• Leslie L Daniels, BSN, RN, NCSN
• Robin Daniels, CNM
• Shannon Brooke Daniels, NP

• Social Worker in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.