Individual provider Active NPI

Danielle Juliette Yeatts, LMSW, LCSW

  • Clinical Social Worker
  • Mount Dora, FL
National Provider Identifier
1922356690
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801093904 Issued in MI
Practice address
106 E 5TH Ave Ste 208
Mount Dora, FL 32757-5523
Phone
(800) 336-5973
Fax
(612) 234-4689
NPI assigned
Aug 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801093904 MI Primary
Clinical Social Worker 1041C0700X 10319 FL

Addresses

Primary practice location

106 E 5TH Ave Ste 208
Mount Dora, FL 32757-5523

Mailing address

2221 Ford Pkwy Ste 350
Saint Paul, MN 55116-3837
Phone (800) 336-5973

Other names 1

  • Danielle Juliette Tichy Former name

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1915 Lyndale Ave S
Minneapolis, MN 55403-3104

2221 Ford Pkwy
Suite 350
Saint Paul, MN 55116-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093904MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Mental Health, GBC CurrentSince Jun 24, 2026 Accepting new patients
Catalyst Mental Health, GBC PastSince Jun 24, 2026 Accepting new patients

Locations

106 E 5th Ave
Ste 208
Mount Dora, FL 32757
Phone (800) 336-5973

2221 Ford Pkwy
Ste 350
Saint Paul, MN 55116
Phone (651) 698-8879

Organizations & group practices 2

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": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1922356690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 FORD PKWY STE 350",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551163837",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 5TH AVE STE 208",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327575523",
            "telephone_number": "800-336-5973",
            "fax_number": "612-234-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEATTS",
        "first_name": "DANIELLE",
        "middle_name": "JULIETTE",
        "credential": "LMSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093904",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "10319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "TICHY",
            "middle_name": "JULIETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Dora, FL

Sources for this page

Verify at the official NPI Registry.