Active NPI
Donna Daniels, LICSW
- Clinical Social Worker
- Wakefield, RI
National Provider Identifier
1407953185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ISW00540
- Practice address
- 162 Preservation Way
Wakefield, RI 02879-8237 - Phone
- (401) 484-6812
- NPI assigned
- Sep 17, 2006
- Last updated
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107159 | MA | |
| Clinical Social Worker | 1041C0700X | ISW00540 | RI | Primary |
Addresses
Primary practice location
162 Preservation Way
Wakefield, RI 02879-8237
Mailing address
162 Preservation Way
Wakefield, RI 02879-8237
Phone (401) 484-6812
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021400 | Other | RI | BEACON |
| 406363 | Other | RI | BLUE CHIP |
| 62-31150 | Other | RI | UNITED HEALTH CARE |
| 9438-0 | Other | RI | BLUE CROSS/BLUE SHIELD |
| 268677 | Other | MA | MAGELLLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107159 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1407953185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 PRESERVATION WAY",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028798237",
"telephone_number": "401-484-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 PRESERVATION WAY",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028798237",
"telephone_number": "401-484-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "DONNA",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-17",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107159",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "RI",
"license": "ISW00540",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON",
"identifier": "1021400",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "406363",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "62-31150",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "9438-0",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLLAN",
"identifier": "268677",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.