Healthcare Provider Details

I. General information

NPI: 1285433748
Provider Name (Legal Business Name): JOANNA KARIN DANIAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 NAMSKAKET RD UNIT 1
ORLEANS MA
02653-3202
US

IV. Provider business mailing address

33 PASTURE LN
CHATHAM MA
02633-1941
US

V. Phone/Fax

Practice location:
  • Phone: 774-701-6977
  • Fax:
Mailing address:
  • Phone: 570-856-0970
  • Fax: 570-856-0970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number231154
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: