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NPI Code Detail

MEDICARE: DANIELLA DARICE STANLEY BYRD

MEDICARE: DANIELLA DARICE STANLEY BYRD
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 Worker30226MD

General Provider Information

NPI Number : 1265383038
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLA DARICE STANLEY BYRD
Provider Business Mailing Address
First Line : 9401 EDWAY CT
Second Line :
City : RANDALLSTOWN
State : MD
Zip : 21133-2820
Country : US
Telephone Number : 443-306-7116
Fax Number : 443-306-7116
Provider Business Practice Location Address
First Line : 1314 BEDFORD AVE STE 114
Second Line :
City : PIKESVILLE
State : MD
Zip : 21208-3737
Country : US
Telephone Number : 443-306-7116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2026
Last Update Date : 03/09/2026

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