Healthcare Provider Details

I. General information

NPI: 1992661409
Provider Name (Legal Business Name): DANIELLA GIORDANO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2025
Last Update Date: 12/29/2025
Certification Date: 12/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 MAIN ST UNIT 2D
MIDDLETOWN CT
06457-3375
US

IV. Provider business mailing address

14 SPRUCELAND RD
ENFIELD CT
06082-2359
US

V. Phone/Fax

Practice location:
  • Phone: 860-248-6046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16150
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: