Individual provider Active NPI

Danielle Marie Nielson, LMSW

  • Clinical Social Worker
  • Mound City, MO
National Provider Identifier
1740839851
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020031613 Issued in MO
Practice address
1303 State St
Mound City, MO 64470-1717
Phone
(660) 442-5464
NPI assigned
Sep 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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 2018022833 MO
Clinical Social Worker 1041C0700X 2020031613 MO Primary

Addresses

Primary practice location

1303 State St
Mound City, MO 64470-1717

Mailing address

2303 Village Dr
Saint Joseph, MO 64506-4954

Other practice location 1

1503 S Munn Ave
Maryville, MO 64468-2757
Phone (660) 562-3511

Other practice location 2

525 W South Hills Dr
Maryville, MO 64468-3653
Phone (660) 562-3244

Other practice location 3

803 W US Highway 71
Savannah, MO 64485-1151
Phone (816) 324-3121

Other practice location 4

3608 Faraon St
Saint Joseph, MO 64506-3044
Phone (816) 232-4417

Other practice location 5

503 S 6th St
Saint Joseph, MO 64501-2224
Phone (816) 233-8536

Other practice location 6

418 E 2nd St
Maryville, MO 64468-1703
Phone (660) 562-3233

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018022833MOMDSocial Worker
2020031613MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Health Services, Inc. PastSince Feb 2, 2020 Accepting new patients
Northwest Health Services, Inc. PastSince Feb 2, 2020 Accepting new patients
Northwest Health Services, Inc PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1740839851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645064954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 STATE ST",
            "city": "MOUND CITY",
            "state": "MO",
            "postal_code": "644701717",
            "telephone_number": "660-442-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 S Munn Ave",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682757",
            "country_code": "US",
            "telephone_number": "660-562-3511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W South Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644683653",
            "country_code": "US",
            "telephone_number": "660-562-3244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "803 W US Highway 71",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "MO",
            "postal_code": "644851151",
            "country_code": "US",
            "telephone_number": "816-324-3121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3608 Faraon St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645063044",
            "country_code": "US",
            "telephone_number": "816-232-4417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 S 6th St",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645012224",
            "country_code": "US",
            "telephone_number": "816-233-8536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644681703",
            "country_code": "US",
            "telephone_number": "660-562-3233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-11",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2018022833",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020031613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mound City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.