Healthcare Provider Details

I. General information

NPI: 1811680432
Provider Name (Legal Business Name): DANIELLE WEBSTER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2023
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 FIRST PARK DR STE C&D
OAKLAND ME
04963-5369
US

IV. Provider business mailing address

25 FIRST PARK DR STE C&D
OAKLAND ME
04963-5369
US

V. Phone/Fax

Practice location:
  • Phone: 207-465-4000
  • Fax:
Mailing address:
  • Phone: 207-465-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC24330
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904015327
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: