Danielle Maronick, LICSW
Individual provider Active NPI Clinical Social Worker · Fairchild Air Force Base, WA
NPI 1831445857 · NPPES record last updated Jul 30, 2012
Key facts
- NPI
- 1831445857
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 00009607 (WA)
- Practice address
- 220 W Bong St Ste 153
Fairchild Air Force Base, WA 99011-9465 - Phone
- (509) 247-4029
- NPI assigned
- Jul 27, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BMSC Az LLC
Practice addresses (Care Compare)
Leavenworth, WA 98826
Phone (509) 433-7698
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240919002330 | WA | Practitioner - Clinical Social Worker | 5890236657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00009607 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BMSC Az LLC | Clinical | Current |
Accepting new patients |
Locations
10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 00009607 | WA | Yes |
Addresses
Primary practice location
220 W Bong St Ste 153
Fairchild Air Force Base, WA 99011-9465
Mailing address
2602 W Parkway Dr
Spokane, WA 99208-6395
Phone (509) 954-3356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00009607 | Other | WA | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
Other providers in Fairchild Air Force Base, WA
- Paula Michelle Clark
- Swapna Dutta
- Devilyn Hindman
- Alyson L Kresser
- Gary Rae Little Jr.
- Holly Meginniss
- Sayf R Munir
- Joshua Karstan Pattee
- Mai Lien Pham
- Nicole Powell
All providers in Fairchild Air Force Base, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.