Individual
DONNA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
162 PRESERVATION WAY, WAKEFIELD, RI 02879-8237
(401) 484-6812
Mailing address
162 PRESERVATION WAY, WAKEFIELD, RI 02879-8237
(401) 484-6812
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107159
MA
1041C0700X
Clinical Social Worker
Primary
ISW00540
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021400
BEACON
RI
01
—
268677
MAGELLLAN
MA
01
—
406363
BLUE CHIP
RI
01
—
62-31150
UNITED HEALTH CARE
RI
01
—
9438-0
BLUE CROSS/BLUE SHIELD
RI
Enumeration date
09/17/2006
Last updated
09/03/2020
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