Active NPI
Debra Marie Danley, LCSW
- Clinical Social Worker
- Fort Myers, FL
National Provider Identifier
1851377402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- S 11244
- Practice address
- 2789 Ortiz Ave
Fort Myers, FL 33905-7806 - Phone
- (239) 275-3222
- NPI assigned
- Dec 15, 2005
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S 11244 | FL | Primary |
Addresses
Primary practice location
2789 Ortiz Ave
Fort Myers, FL 33905-7806
Mailing address
3763 Evans Ave
Fort Myers, FL 33901-9302
Phone (239) 275-3222
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34763019 | Other | KS | BLUE CROSS AND BLUE SHIEL |
| 802388000 | Other | KS | MAGELLAN |
| 348438 | Other | MHN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2232 | KS | MD | Mental Health Counselor |
| S 11244 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultima Rehab-FL LLC | Current | Accepting new patients | |
| John T Bopp PC | Clinical | Past | Accepting new patients |
| BPH LLC | Past | Accepting new patients |
Locations
390 Pondella Rd
Ste 9
North Ft Myers, FL 33903
Phone (239) 652-0260
Organizations & group practices 3
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.
-
- Geriatric Physical Therapist
- North Fort Myers, FL
- NPI 1053970194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1851377402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3763 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019302",
"telephone_number": "239-275-3222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2789 ORTIZ AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057806",
"telephone_number": "239-275-3222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANLEY",
"first_name": "DEBRA",
"middle_name": "MARIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-15",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "S 11244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "34763019",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "802388000",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "348438",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
- Jason Daniel, MS
- Daniele Medical Equipment LLC
- Danielle Jediny-Racies (Danielle Jediny-Racies, LMFT)
- Daniels Modern Dentistry, PA (Daniels Modern Dentistry)
- Jennifer Danis, LMHC
- Kellen Elayne Danley, PHARMD
- Carey Danna, LCSW
- Briana Elizabeth Dannecker, OTR/L
- Joyce Dannemiller, CRNA
- Leslie Rae Danner, ED.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.