Individual provider Active NPI

Anita Antoinette Daniels, LCSW

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1750309753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005297 Issued in NC
Practice address
2609 N Duke St Ste 900
Durham, NC 27704-3019
Phone
(919) 313-0260
Fax
(919) 313-0299
NPI assigned
Jul 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005297 NC Primary

Addresses

Primary practice location

2609 N Duke St Ste 900
Durham, NC 27704-3019

Mailing address

102 Nuttree Way
Durham, NC 27713-9079
Phone (919) 403-6900

Other names 1

  • Ms. Anita Antoinette Daniels-Kenney Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250917000363 NC Practitioner - Clinical Social Worker 9436653169 Practice locations: Durham, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Durham, NC 27713
Phone (919) 564-9360

PO Box
Durham, NC 27702

PO Box
Suite 2003
Durham, NC 27702-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1521NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Actualities Limited PastSince Feb 1, 2002 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750309753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NUTTREE WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139079",
            "telephone_number": "919-403-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 N DUKE ST STE 900",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277043019",
            "telephone_number": "919-313-0260",
            "fax_number": "919-313-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "ANITA",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "DANIELS-KENNEY",
            "middle_name": "ANTOINETTE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.