Danielle Moraes
Individual provider Active NPI Clinical Social Worker · Waterbury, CT
NPI 1922420330 · NPPES record last updated Feb 7, 2022
Key facts
- NPI
- 1922420330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 008358 (CT)
- Practice address
- 1336 W Main St Ste 2a
Waterbury, CT 06708-3122 - Phone
- (203) 501-4526
- NPI assigned
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- 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 |
|---|---|---|---|---|
| I20150908002495 | CT | Practitioner - Clinical Social Worker | 3678889508 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008358 | CT | MD | Clinical Social Worker |
| 8356 | CT | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive Wellness LLC | Clinical | Current |
Accepting new patients |
| Optimus Health Care Inc | Current |
Accepting new patients | |
| Wheeler Clinic Inc | Current |
Accepting new patients | |
| Wheeler Clinic Inc | Current |
Accepting new patients |
Locations
982 E Main St
Bridgeport, CT 06608
Phone (203) 696-3260
471 Barnum Ave
Bridgeport, CT 06608
Phone (203) 333-6864
91 Northwest Dr
Plainville, CT 06062
Phone (860) 793-3871
1068 W Main St
Ste 1
Waterbury, CT 06708
Phone (203) 518-4526
1068 W Main St
Waterbury, CT 06708
Phone (203) 518-4526
Interoperability endpoints
- danielle.moraes.p1@direct.wheelerclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 008358 | CT | Yes |
Addresses
Primary practice location
1336 W Main St Ste 2a
Waterbury, CT 06708-3122
Mailing address
1336 W Main St Ste 2a
Waterbury, CT 06708-3122
Phone (203) 501-4526
Other providers in Waterbury, CT
- Maraejah Moore
- Marvin Moore
- Rachel Moore
- Vandy Moore
- Ilaiza Mora
- Elizabeth Morales
- Jonathan Moran
- Kellie Moran
- Kelly Morante
- Sarah Moreira
All providers in Waterbury, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2022. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.