Individual provider Active NPI

Danielle C Kudela, LCSW

  • School Social Worker
  • Youngstown, NY
National Provider Identifier
1740569714
Registry record updated Apr 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
00081766 Issued in NY
Practice address
4061 Creek Rd
Youngstown, NY 14174-9609
Phone
(716) 754-8281
Fax
(716) 286-7876
NPI assigned
Aug 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00083453 NY
School Social Worker 1041S0200X 00081766 NY Primary

Addresses

Primary practice location

4061 Creek Rd
Youngstown, NY 14174-9609

Mailing address

4061 Creek Rd
Youngstown, NY 14174-9609
Phone (716) 754-8281

Other names 1

  • Danielle C Demunda Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00083453NYMDSocial Worker
00081766NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1740569714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4061 CREEK RD",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141749609",
            "telephone_number": "716-754-8281",
            "fax_number": "716-286-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 CREEK RD",
            "city": "YOUNGSTOWN",
            "state": "NY",
            "postal_code": "141749609",
            "telephone_number": "716-754-8281",
            "fax_number": "716-286-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDELA",
        "first_name": "DANIELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00083453",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "00081766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "DEMUNDA",
            "middle_name": "C",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Youngstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; 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.