Individual
MS. GWENDOLYN JAYNE MARTELL-DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, SAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11275
WI
1041C0700X
Clinical Social Worker
Primary
125215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39-1991697
FED TAX ID
WI
05
—
40927200
—
WI
01
—
602114
STATE TAX ID
WI
Enumeration date
05/24/2007
Last updated
02/03/2026
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