Healthcare Provider Details

I. General information

NPI: 1407163199
Provider Name (Legal Business Name): DANIEL H RINGHOFF PHD, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2010
Last Update Date: 09/21/2020
Certification Date: 09/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 HENDERSON BLVD STE 202
TAMPA FL
33629-5002
US

IV. Provider business mailing address

3215 W BARCELONA ST
TAMPA FL
33629-7101
US

V. Phone/Fax

Practice location:
  • Phone: 813-545-5287
  • Fax:
Mailing address:
  • Phone: 813-545-5287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSW9542
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW9542
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License NumberSW 9542
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW9542
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: