Individual
DANIELLE LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
109 RECOVERY DR W, CENTREVILLE, MD 21617-2613
(410) 490-8376
Mailing address
314 BRICK SCHOOLHOUSE RD, CENTREVILLE, MD 21617-2531
(410) 490-8376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18187
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN
MD
01
—
517251
OPTUM
MD
05
—
609550001
—
MD
05
—
609550002
—
MD
05
—
609550004
—
MD
01
—
78400093
AETNA
MD
01
—
R968
CAREFIRST BCBS OF MD
MD
Enumeration date
08/19/2013
Last updated
03/03/2026
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