Individual provider Active NPI

Danielle Harte, LCSW-R

  • Clinical Social Worker
  • Adelphia, NJ
National Provider Identifier
1639325103
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078385-1 Issued in NY
Practice address
16 Wyckoff Mills Rd Unit 116
Adelphia, NJ 07710-1005
Phone
(917) 796-2867
NPI assigned
Aug 14, 2008
Last updated
Sep 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 078385-1 NY Primary
Clinical Social Worker 1041C0700X 44SC05573500 NJ

Addresses

Primary practice location

16 Wyckoff Mills Rd Unit 116
Adelphia, NJ 07710-1005

Mailing address

PO Box 116
Adelphia, NJ 07710-0116
Phone (917) 796-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20171205002805 NJ Practitioner - Clinical Social Worker 3375608060 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

80 Scenic Dr
Suite 2
Freehold, NJ 07728-5211
Phone (917) 796-2867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
078385-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1639325103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116",
            "city": "ADELPHIA",
            "state": "NJ",
            "postal_code": "077100116",
            "telephone_number": "917-796-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 WYCKOFF MILLS RD UNIT 116",
            "city": "ADELPHIA",
            "state": "NJ",
            "postal_code": "077101005",
            "telephone_number": "917-796-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTE",
        "first_name": "DANIELLE",
        "name_prefix": "Miss",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078385-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05573500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphia, NJ

Sources for this page

Verify at the official NPI Registry.