Organization Name: | DANIELLE N. CHRISTIAN, LCSW, LLC |
NPI Number: | 1205261211 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIELLE NICOLE CHRISTIAN (LICENSED CLINICAL SOCIAL WORKER) |
Mailing Address: | 18 Ledgebrook Dr Suite E-3 Mansfield Center |
State: | CT US |
Postal Code: | 062501664 |
Phone Number: | 8604280403 |
Fax Number: | |
NPI Enumeration Date: | 09/09/2013 |
NPI Last Update Date: | 09/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 007464 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |