| Doctor Name: | MS. NINA MAE DANIELSON |
| NPI Number: | 1154345049 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | 104197 |
| Business Practice Address: | 15 Popple Grove Rd Harwich, MA - 026452027 |
| Business Phone Number: | 5084325152 |
| Business Fax Number: | 5084323861 |
| Mailing Address: | 15 Popple Grove Rd, HARWICH |
| State: | MA |
| Postal Code: | 026452027 |
| Phone Number: | 5084325152 |
| Fax Number: | 5084323861 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 12/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 104197 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |