Healthcare Provider Details

I. General information

NPI: 1821924689
Provider Name (Legal Business Name): DANIELLE ANASTASIA PENDLETON MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 COLUMBIAN ST
BRAINTREE MA
02184-7320
US

IV. Provider business mailing address

140 WHITWELL ST APT 505
QUINCY MA
02169-1996
US

V. Phone/Fax

Practice location:
  • Phone: 781-380-3945
  • Fax:
Mailing address:
  • Phone: 808-721-9788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW230078
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: