Individual provider Active NPI

Danielle Hamilton, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1972057354
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904015072 Issued in VA
Practice address
184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533
Phone
(757) 204-1421
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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 34007584A IN
Clinical Social Worker 1041C0700X 0904015072 VA Primary

Addresses

Primary practice location

184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533

Mailing address

184 Business Park Dr Ste 206
Virginia Beach, VA 23462-6533
Phone (757) 204-1421

Other practice location 1

4068 Winthrop Ave
Indianapolis, IN 46205
Phone (317) 629-5495

Other practice location 2

1525 N Ritter Ave
Indianapolis, IN 46219-3026
Phone (317) 359-5467

Other practice location 3

1525 N Ritter Ave
Indianapolis, IN 46219-3026
Phone (317) 359-5467

Other names 1

  • Danielle Mandigo Former name

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

LicenseStateTypeSpecialty
0904015072VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Network, Inc. Past Accepting new patients

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1972057354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 BUSINESS PARK DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626533",
            "telephone_number": "757-204-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 BUSINESS PARK DR STE 206",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626533",
            "telephone_number": "757-204-1421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4068 Winthrop Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "46205",
            "country_code": "US",
            "telephone_number": "317-629-5495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193026",
            "country_code": "US",
            "telephone_number": "317-359-5467",
            "fax_number": "317-322-4095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 N Ritter Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462193026",
            "country_code": "US",
            "telephone_number": "317-359-5467",
            "fax_number": "317-322-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007584A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904015072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "MANDIGO",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.