Individual provider Active NPI

Danielle Gatny, LMSW, MSW

  • Clinical Social Worker
  • Hartford, MI
National Provider Identifier
1902441025
Registry record updated Dec 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090137 Issued in MI
Practice address
57418 County Road 681 Ste C
Hartford, MI 49057-9421
Phone
(269) 621-6251
NPI assigned
Nov 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2019

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 6801090137 MI Primary

Addresses

Primary practice location

57418 County Road 681 Ste C
Hartford, MI 49057-9421

Mailing address

PO Box 249
Paw Paw, MI 49079-0249
Phone (269) 657-5574

Other names 1

  • Danielle Nordbrock Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20191205001471 MI Practitioner - Clinical Social Worker 9537592548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801090137MIMDClinical Social Worker

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1902441025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490790249",
            "telephone_number": "269-657-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57418 COUNTY ROAD 681 STE C",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490579421",
            "telephone_number": "269-621-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATNY",
        "first_name": "DANIELLE",
        "credential": "LMSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "NORDBROCK",
            "credential": "LMSW, MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hartford, MI

Sources for this page

Verify at the official NPI Registry.