Kimberly Daniel, LMSW

Individual provider Active NPI Social Worker · Mount Morris, NY

NPI 1669748349 · NPPES record last updated Mar 28, 2012

Key facts

NPI
1669748349
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
076428-1 (NY)
Practice address
5871 Groveland Station Rd
Mount Morris, NY 14510-9767
Phone
(585) 658-4023
Fax
(585) 658-4066
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
076428-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 076428-1 NY Yes

Addresses

Primary practice location

5871 Groveland Station Rd
Mount Morris, NY 14510-9767

Mailing address

5871 Groveland Station Rd
Mount Morris, NY 14510-9767
Phone (585) 658-4023

Other providers in Mount Morris, NY

All providers in Mount Morris, NY · Social Worker in New York

Sources for this page

Verify at the official NPI Registry.