Healthcare Provider Details

I. General information

NPI: 1255295119
Provider Name (Legal Business Name): DANIELLE LEONARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 135
SAINT PETER MN
56082-0135
US

IV. Provider business mailing address

PO BOX 135
SAINT PETER MN
56082-0135
US

V. Phone/Fax

Practice location:
  • Phone: 507-317-0318
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number35595
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW25640
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: