Individual provider Active NPI

Patricia Moleak Daniels, LCSW

  • Clinical Social Worker
  • Sewell, NJ
National Provider Identifier
1538734744
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW020393 Issued in PA
Practice address
211 County House Rd
Sewell, NJ 08080-2525
Phone
(215) 823-5800
Fax
(215) 823-5265
NPI assigned
May 21, 2021
Last updated
May 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2021

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 CW020393 PA Primary

Addresses

Primary practice location

211 County House Rd
Sewell, NJ 08080-2525

Mailing address

211 County House Rd
Sewell, NJ 08080-2525
Phone (215) 823-5800

Other identifiers 1

IdentifierTypeStateIssuer
CW020393OtherPALCSW

Other names 1

  • Patricia Moleak Hawkins Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW020393PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1538734744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 COUNTY HOUSE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802525",
            "telephone_number": "215-823-5800",
            "fax_number": "215-823-5265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COUNTY HOUSE RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802525",
            "telephone_number": "215-823-5800",
            "fax_number": "215-823-5265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "PATRICIA",
        "middle_name": "MOLEAK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW020393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "CW020393",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "HAWKINS",
            "middle_name": "MOLEAK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sewell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.