Healthcare Provider Details

I. General information

NPI: 1588568760
Provider Name (Legal Business Name): DANIELLE MARIE FAAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANI FAAS

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 W BELTLINE HWY STE 402 SUITE 402
MADISON WI
53713-2832
US

IV. Provider business mailing address

3001 W BELTLINE HWY STE 402
MADISON WI
53713-2832
US

V. Phone/Fax

Practice location:
  • Phone: 608-492-2339
  • Fax:
Mailing address:
  • Phone: 608-492-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1298723
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: