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NPI Code Detail

MEDICARE: MS. DANIELLE LANE MONTANA L.C.S.W.

MEDICARE:  MS. DANIELLE LANE MONTANA  L.C.S.W.
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 WorkerSW8969FL

General Provider Information

NPI Number : 1457683641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE LANE MONTANA L.C.S.W.
Provider Business Mailing Address
First Line : 4037 MOSS LN
Second Line :
City : NAPLES
State : FL
Zip : 34112-2934
Country : US
Telephone Number : 239-248-4060
Fax Number :
Provider Business Practice Location Address
First Line : 901 S 62ND AVE
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1848
Country : US
Telephone Number : 954-893-0109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2010
Last Update Date : 02/12/2010

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Directions to “ MS. DANIELLE LANE MONTANA L.C.S.W.” Practice Location

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