Jessica Lynn Daniels, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2021020643 Issued in MO

Practice address

508 Bayview Pointe CT
Lake St Louis, MO 63367-4321

Phone

(573) 647-6305

NPI assigned

Sep 16, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  NPD

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1417627910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 BAYVIEW POINTE CT",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674321",
            "telephone_number": "573-647-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 BAYVIEW POINTE CT",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674321",
            "telephone_number": "573-647-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2021020643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestview Medical Associates, LLC
• Crislip Speech Therapy, LLC (Crislip Speech Therapy)
• Crossroads Clinic Volunteers in Medicine
• Yunhee Choi Cruse, CNP, FNP-BC
• John Michael Curtin, D.C.
• Sara Jane Daniels, M.A., CCC-SLP
• Reama T Darwish, PHARMD
• Laurie A Dawson
• Rigoberto De Jesus Pizarro
• Terrence Joseph Dee III, PHARM. D.

• Clinical Social Worker in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.