Individual provider Active NPI

Danielle Luna Rudel, LCSW

  • Clinical Social Worker
  • Statesville, NC
National Provider Identifier
1811688526
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C019223 Issued in NC
Practice address
1450 Fern Creek Dr
Statesville, NC 28625-9376
Phone
(704) 818-9191
Fax
(704) 872-3782
NPI assigned
May 15, 2023
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 C019223 NC Primary

Addresses

Primary practice location

1450 Fern Creek Dr
Statesville, NC 28625-9376

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1936

Other practice location 1

9525 Birkdale Crossing Dr Ste 300
Huntersville, NC 28078-8459
Phone (704) 360-3637

Other practice location 2

518 Brookdale Dr
Statesville, NC 28677-4108
Phone (704) 872-9595

Other names 1

  • Danielle Luna Canaday 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
I20260217002287 NC Practitioner - Clinical Social Worker 3779063805

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

122 Gateway Blvd
Suite C
Mooresville, NC 28117-5543

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C019223NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Wellness Solutions, PLLC Clinical CurrentSince Mar 10, 2026 Accepting new patients

Locations

3625 N Elm St
Ste 130
Greensboro, NC 27455

9525 Birkdale Crossing Dr
Ste 300
Huntersville, NC 28078
Phone (704) 317-2930

Interoperability endpoints

  • Direct secure messaging: dcanaday649164@direct.ochin.org

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1811688526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1936",
            "fax_number": "704-865-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 FERN CREEK DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286259376",
            "telephone_number": "704-818-9191",
            "fax_number": "704-872-3782"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9525 Birkdale Crossing Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280788459",
            "country_code": "US",
            "telephone_number": "704-360-3637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Brookdale Dr",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286774108",
            "country_code": "US",
            "telephone_number": "704-872-9595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDEL",
        "first_name": "DANIELLE",
        "middle_name": "LUNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C019223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CANADAY",
            "middle_name": "LUNA",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Statesville, NC

Sources for this page

Verify at the official NPI Registry.