MEDICARE: DANIELLE GREENFIELD LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SW7592	FL

General Provider Information

NPI Number	:	1356784664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIELLE GREENFIELD LCSW

Provider Business Mailing Address
First Line	:	3040 GRANDIFLORA DR
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2008
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3040 GRANDIFLORA DR
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33467-2008
Country	:	US
Telephone Number	:	561-358-2130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DANIELLE L GREENFIELD
Credential	:	LCSW
Telephone Number	:	561-358-2130

Provider Enumeration Date	:	04/17/2013
Last Update Date	:	04/17/2013

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