Danielle Ayla Metzger

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

222807 Issued in MA

Practice address

257 Elm St Ste 201
Somerville, MA 02144-2934

Phone

(617) 354-4450

NPI assigned

Feb 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Deep Dive Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cambridge, MA
  • NPI 1891451381
  NPD Authorized official

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582329600000",
    "number": "1619501251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 ELM ST STE 201",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442934",
            "telephone_number": "617-354-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 ELM ST STE 201",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021442934",
            "telephone_number": "617-354-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METZGER",
        "first_name": "DANIELLE",
        "middle_name": "AYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmetzger@lifechangesgroup.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "257 Elm St Ste 201",
            "city": "Somerville",
            "state": "MA",
            "country_code": "US",
            "postal_code": "021442934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth L Merrick, MSW, PHD
• Joseph Robert Merry Jr.
• Joseph A Merullo, DPT
• Michelle Messina
• Brittany Metrolis
• Ahou Meydani-Korb, M.D.
• Nathaniel Meyer
• Tien-Shu Miao
• Moleca Mich
• Jennifer Suzanne Michael, RN/NP

• Clinical Social Worker in Somerville, MA
• Providers in Somerville, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.