Active NPI
Danielle Wall, LMSW
- School Social Worker
- Sayville, NY
National Provider Identifier
1790988293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 066369
- Practice address
- 335 Johnson Ave
Sayville, NY 11782-1143 - Phone
- (631) 589-8060
- Fax
- (631) 589-0908
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 066369 | NY | Primary |
Addresses
Primary practice location
335 Johnson Ave
Sayville, NY 11782-1143
Mailing address
335 Johnson Ave
Sayville, NY 11782-1143
Phone (631) 589-8060
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
| License | State | Type | Specialty |
|---|---|---|---|
| 066369 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leeway School | Past | 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 and National Provider Directory roles.
-
- Early Intervention Provider Agency
- Sayville, NY
- NPI 1063651289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233100800000",
"number": "1790988293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 JOHNSON AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821143",
"telephone_number": "631-589-8060",
"fax_number": "631-589-0908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 JOHNSON AVE",
"city": "SAYVILLE",
"state": "NY",
"postal_code": "117821143",
"telephone_number": "631-589-8060",
"fax_number": "631-589-0908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALL",
"first_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2009-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "066369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.