Individual provider Active NPI

Danielle Lutek, LCSW

  • Clinical Social Worker
  • Asheville, NC
National Provider Identifier
1407417090
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06237000 Issued in NJ
Practice address
165 River Birch Grove Rd Apt 105
Asheville, NC 28806-0323
Phone
(845) 337-5791
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC06237000 NJ Primary
Clinical Social Worker 1041C0700X C015845 NC

Addresses

Primary practice location

165 River Birch Grove Rd Apt 105
Asheville, NC 28806-0323

Mailing address

165 River Birch Grove Rd Apt 105
Asheville, NC 28806-0323
Phone (845) 337-5791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, NJ2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231013002778 NC Practitioner - Clinical Social Worker 2961857743 Reassigns benefits to 1 organization
I20240305000479 NJ Practitioner - Clinical Social Worker 2961857743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC06237000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Behavioral Health of New Jersey, Inc CurrentSince Feb 23, 2024 Accepting new patients
Preferred Behavioral Health of New Jersey, Inc. Current Accepting new patients
Rha Health Services, Inc CurrentSince Aug 30, 2023 Accepting new patients
Rha Health Services, Inc. CurrentSince Aug 30, 2023 Accepting new patients
Rha Health Services Inc Current Accepting new patients
Preferred Behavioral Health of NJ- Riptide CurrentSince Feb 23, 2024 Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Ste 200
Asheville, NC 28801
Phone (828) 228-7512

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

700 Airport Rd
Lakewood, NJ 08701
Phone (732) 458-1700

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695513600000",
    "number": "1407417090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 RIVER BIRCH GROVE RD APT 105",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288060323",
            "telephone_number": "845-337-5791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 RIVER BIRCH GROVE RD APT 105",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288060323",
            "telephone_number": "845-337-5791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUTEK",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-09-24",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06237000",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.