Doctor Name: | MRS. DANIELLE MCGOWAN |
NPI Number: | 1659741452 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | DP00944690 |
Business Practice Address: | 71 Edmond Rd Unit 6 Kearneysville, WV - 254302792 |
Business Phone Number: | 3047249333 |
Business Fax Number: | |
Mailing Address: | 358 Hollida Ln, MARTINSBURG |
State: | WV |
Postal Code: | 254040413 |
Phone Number: | 3042402129 |
Fax Number: | |
NPI Enumeration Date: | 10/06/2015 |
NPI Last Update Date: | 02/01/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | DP00944690 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |