Healthcare Provider Details

I. General information

NPI: 1245493600
Provider Name (Legal Business Name): DANIEL PETER TORINUS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 04/05/2021
Certification Date: 04/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 PRICE PL
MADISON WI
53705-3299
US

IV. Provider business mailing address

3315 RIVER BIRCH LN
MIDDLETON WI
53562-1778
US

V. Phone/Fax

Practice location:
  • Phone: 608-695-9663
  • Fax:
Mailing address:
  • Phone: 608-695-9663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8745
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number980
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: