Healthcare Provider Details

I. General information

NPI: 1699607598
Provider Name (Legal Business Name): DANIELLE JUDITH GERSTENBERGER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6315 CHANCELLOR DR
CEDAR FALLS IA
50613-6919
US

IV. Provider business mailing address

2024 KIMBALL AVE
WATERLOO IA
50702-5019
US

V. Phone/Fax

Practice location:
  • Phone: 319-250-5982
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number137172
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: