Danielle A Clarke, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116395 Issued in MA

Practice address

10 Asylum St.
Milford, MA 07757

Phone

(508) 478-6888

NPI assigned

Jan 7, 2010

Reactivated

Jan 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Wayside Youth and Family Support Network

  • Mental Health Counselor
  • Framingham, MA
  • NPI 1851484505
  NPD (past)

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1760712129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ASYLUM ST.",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "07757",
            "telephone_number": "508-478-6888",
            "fax_number": "508-478-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ASYLUM ST.",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "07757",
            "telephone_number": "508-478-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKE",
        "first_name": "DANIELLE",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2016-02-24",
        "deactivation_date": "2015-01-07",
        "reactivation_date": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Cincotta
• Concetta Cippoletti, LMT
• Claflin Hill Corporation
• Felisha Clark, DMD
• Kelly Clark, MA CAGS
• Keisha Lee Clausell
• Erin Theresa Cleary
• Valarie Ann Clemente-Crain, ED.D.
• Emmett A Clemente, M.D.
• Dominique-Rachel Juliana Clerverseau

• Clinical Social Worker in Milford, MA
• Providers in Milford, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.