Individual provider Active NPI

Dannielle C Williams, LCPC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1770048688
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC9150 Issued in MD
Practice address
6340 Security Blvd Ste 1023
Baltimore, MD 21207-5173
Phone
(443) 248-6756
NPI assigned
Feb 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC9150 MD Primary

Addresses

Primary practice location

6340 Security Blvd Ste 1023
Baltimore, MD 21207-5173

Mailing address

1229 Silverthorne Rd
Baltimore, MD 21239-3434
Phone (443) 651-4345

Other practice location 1

1229 Silverthorne Rd
Baltimore, MD 21239-3434
Phone (443) 651-4345

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
LC9150MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Make the Dipherence LLC Professional CurrentSince Oct 22, 2023 Accepting new patients

Locations

6340 Security Blvd
Ste 1023
Woodlawn, MD 21207
Phone (443) 248-6756

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1770048688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 SILVERTHORNE RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212393434",
            "telephone_number": "443-651-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6340 SECURITY BLVD STE 1023",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212075173",
            "telephone_number": "443-248-6756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Silverthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212393434",
            "country_code": "US",
            "telephone_number": "443-651-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DANNIELLE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC9150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.