Individual provider Active NPI

Danyel Lynn Syms, LCSW

  • Clinical Social Worker
  • Fond Du Lac, WI
National Provider Identifier
1598314973
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9368-123 Issued in WI
Practice address
40 Camelot Dr
Fond Du Lac, WI 54935-8049
Phone
(920) 960-4084
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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 9368-123 WI Primary

Addresses

Primary practice location

40 Camelot Dr
Fond Du Lac, WI 54935-8049

Mailing address

40 Camelot Dr
Fond Du Lac, WI 54935-8049
Phone (920) 907-8201

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL @ssmhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000151 WI Practitioner - Clinical Social Worker 9638548282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Agnesian Healthcare, Inc Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Oct 1, 2022 Accepting new patients
Agnesian Healthcare Inc CurrentSince Oct 1, 2022 Accepting new patients
Agnesian Healthcare Inc Past Accepting new patients

Locations

430 E Division St
Fond du Lac, WI 54935
Phone (920) 926-4200

72 W 9th St
Fond du Lac, WI 54935
Phone (920) 906-6520

525 E Pioneer Rd
Fond du Lac, WI 54935

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

475 W Arndt St
Fond du Lac, WI 54935

101 Morningside Dr
Fond du Lac, WI 54935

396 Linden St
Fond du Lac, WI 54935

40 Camelot Dr
Fond du Lac, WI 54935
Phone (920) 907-8201

109 E Merrill Ave
Fond du Lac, WI 54935

1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497

305 McKinley St
North Fond du Lac, WI 54937

325 McKinley St
North Fond du Lac, WI 54937

Organizations & group practices 4

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1598314973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CAMELOT DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358049",
            "telephone_number": "920-907-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CAMELOT DR",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549358049",
            "telephone_number": "920-960-4084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMS",
        "first_name": "DANYEL",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9368-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@ssmhealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "40 Camelot Dr",
            "city": "Fond Du Lac",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549358049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fond Du Lac, WI

Sources for this page

Verify at the official NPI Registry.