Individual
DANIELLE WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3752 N SHEFFIELD AVE APT 3S, CHICAGO, IL 60613-0305
(708) 630-1534
Mailing address
5030 BROADWAY STE 201, NEW YORK, NY 10034-1615
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
100757-1
NY
1041C0700X
Clinical Social Worker
Primary
125820
MA
Other
Enumeration date
04/02/2019
Last updated
12/09/2022
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