Individual provider Active NPI

Danielle Nicole Bull, LCSW-S

  • Clinical Social Worker
  • Rockwall, TX
National Provider Identifier
1558907493
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
57877 Issued in TX
Practice address
1010 W Ralph Hall Pkwy Ste 112
Rockwall, TX 75032-6690
Phone
(469) 769-1445
Fax
(866) 653-5142
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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 57877 TX Primary

Addresses

Primary practice location

1010 W Ralph Hall Pkwy Ste 112
Rockwall, TX 75032-6690

Mailing address

2410 Echo CT
Rowlett, TX 75088-1535
Phone (469) 233-2652

Other names 1

  • Danielle Nicole Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
57877TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Centered Psychiatry PLLC Past Accepting new patients
Deep Eddy Psychotherapy Management, LLC PastSince Sep 9, 2024 Accepting new patients

Organizations & group practices 2

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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1558907493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 ECHO CT",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750881535",
            "telephone_number": "469-233-2652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W RALPH HALL PKWY STE 112",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326690",
            "telephone_number": "469-769-1445",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULL",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BROWN",
            "middle_name": "NICOLE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.