MEDICARE: MRS. DANIELLE ROSE ROBERTSON LCSW

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
1	101YM0800X	Mental Health Counselor	SW17553	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1396289971	OTHER	FL	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396289971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANIELLE ROSE ROBERTSON LCSW

Provider Business Mailing Address
First Line	:	5411 GRAND BLVD STE 109A
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4010
Country	:	US
Telephone Number	:	727-222-0733
Fax Number	:

Provider Business Practice Location Address
First Line	:	5411 GRAND BLVD STE 109
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34652-4010
Country	:	US
Telephone Number	:	727-222-0733
Fax Number	:	813-867-7079

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2016
Last Update Date	:	02/06/2026

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Directions to “ MRS. DANIELLE ROSE ROBERTSON LCSW” Practice Location

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