Active NPI
Danae A Wheatley, LCSW-C
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1942241567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 704410
- Practice address
- 21 West Rd
Suite 111
Towson, MD 21204-2325 - Phone
- (410) 494-9440
- NPI assigned
- Jun 8, 2006
- 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 | 704410 | MD | Primary |
Addresses
Primary practice location
21 West Rd
Suite 111
Towson, MD 21204-2325
Mailing address
21 West Rd
Suite 111
Towson, MD 21204-2325
Phone (410) 494-9440
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138050800 | Medicaid | MD | |
| 700005700 | Medicaid | MD |
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 |
|---|---|---|---|
| 704410 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In the Newness of Life, LLC | Clinical | Current | Accepting new patients |
| In the Newness of Life, Inc | Clinical | Current | Accepting new patients |
Locations
1134 York Rd
Ste 313
Lutherville Timonium, MD 21093
Phone (410) 494-9440
21 West Rd
Ste 111
Towson, MD 21204
Phone (410) 296-7030
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.
-
- Clinical Social Worker
- Towson, MD
- NPI 1902384381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481068800000",
"number": "1942241567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 WEST RD",
"address_2": "SUITE 111",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042325",
"telephone_number": "410-494-9440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 WEST RD",
"address_2": "SUITE 111",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042325",
"telephone_number": "410-494-9440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATLEY",
"first_name": "DANAE",
"middle_name": "A",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2016-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "704410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138050800",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "700005700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.