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NPI Code Detail

MEDICARE: DANIELLE SUE CHASE LCSW, CASAC

MEDICARE: DANIELLE SUE CHASE LCSW, CASAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker083916-1NY
2101YA0400XAddiction (Substance Use Disorder) Counselor29854NY
3104100000XSocial Worker087091-1NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164704003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE SUE CHASE LCSW, CASAC
Provider Business Mailing Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6491
Fax Number : 607-844-3524
Provider Business Practice Location Address
First Line : 380 FREEVILLE RD
Second Line :
City : FREEVILLE
State : NY
Zip : 13068-9684
Country : US
Telephone Number : 607-844-6491
Fax Number : 607-844-3524
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 02/26/2026

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1922498674 — MS. JENNIFER ANNE LUDWIG R.N.
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