Active NPI
Danyel Lynn Syms, LCSW
- Clinical Social Worker
- Fond Du Lac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9368-123
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | 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.
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Community/Retail Pharmacy
- Waupun, WI
- NPI 1366417917
-
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fond Du Lac, WI
- NPI 1841320884
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.