Danielle Fine Goldman, LCSW

Individual provider Active NPI Clinical Social Worker · Rosemont, IL

NPI 1881296820 · NPPES record last updated Feb 4, 2021

Key facts

NPI
1881296820
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.009807 (IL)
Practice address
9525 Bryn Mawr Ave
Rosemont, IL 60018-5249
Phone
(847) 778-9936
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
149.009807ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.009807 IL Yes
Marriage & Family Therapist 106H00000X 149.009807 IL

Addresses

Primary practice location

9525 Bryn Mawr Ave
Rosemont, IL 60018-5249

Mailing address

9525 Bryn Mawr Ave Ste 955
Rosemont, IL 60018-5249
Phone (847) 778-9936

Other names

  • Danielle Fine Former name

Other providers in Rosemont, IL

All providers in Rosemont, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.