Healthcare Provider Details

I. General information

NPI: 1851238208
Provider Name (Legal Business Name): DANIELLE WANDER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 ASHBURTON AVE
YONKERS NY
10701-2930
US

IV. Provider business mailing address

926 E 222ND ST
BRONX NY
10469-1018
US

V. Phone/Fax

Practice location:
  • Phone: 914-963-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number130298
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: