Individual provider Active NPI

Inna Danieli, LCSW

  • Clinical Social Worker
  • Teaneck, NJ
National Provider Identifier
1447595210
Registry record updated Dec 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05527800 Issued in NJ
Practice address
1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824
Phone
(917) 363-6302
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05527800 NJ Primary

Addresses

Primary practice location

1182 Teaneck Rd
Suite 103
Teaneck, NJ 07666-4824

Mailing address

169 John St
Englewood, NJ 07631-2228
Phone (917) 363-6302

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

LicenseStateTypeSpecialty
44SC05527800NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1447595210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 JOHN ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312228",
            "telephone_number": "917-363-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TEANECK RD",
            "address_2": "SUITE 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664824",
            "telephone_number": "917-363-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELI",
        "first_name": "INNA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05527800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.