MEDICARE: DANEL WHITEHEAD

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	1041C0700X	Clinical Social Worker	5009C	AL
2	1041C0700X	Clinical Social Worker	CSW.09931510	CO
3	1041C0700X	Clinical Social Worker	0904018092	VA
4	1041C0700X	Clinical Social Worker	6801120273	MI
5	1041C0700X	Clinical Social Worker	C10733	MS
6	1041C0700X	Clinical Social Worker	8816	TN

General Provider Information

NPI Number	:	1578930830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANEL WHITEHEAD

Provider Business Mailing Address
First Line	:	3066 ZELDA RD
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36106-2651
Country	:	US
Telephone Number	:	334-625-0779
Fax Number	:

Provider Business Practice Location Address
First Line	:	7806 VAUGHN RD # 1074
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36116-1333
Country	:	US
Telephone Number	:	334-625-0779
Fax Number	:	334-888-8599

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

Provider Enumeration Date	:	08/21/2015
Last Update Date	:	03/16/2026

Similar Medicare Providers

1467041996 — AFFIRMING CARE COUNSELING AND WELLNESS LLC
Practice Location Address:

7806 VAUGHN RD
MONTGOMERY, AL
36116-1333

Practice Phone: 334-413-4055
Practice Fax:

1720678667 — PT SOLUTIONS OF MONTGOMERY, LLC
Practice Location Address:

7850 VAUGHN RD STE 100
MONTGOMERY, AL
36116-1333

Practice Phone: 334-396-2710
Practice Fax: 334-396-2115

1497430623 — JUNMIN PARK
Practice Location Address:

7850 VAUGHN RD
MONTGOMERY, AL
36116-1333

Practice Phone: 334-396-2110
Practice Fax: 334-396-2115

1679532238 — CROWNE HEALTH CARE OF MONTGOMERY, LLC
Practice Location Address:

1837 UPPER WETUMPKA RD
MONTGOMERY, AL
36107-1333

Practice Phone: 334-264-8416
Practice Fax: 334-264-1169

1225973506 — RIVERTOWN HEALTH AND REHABILITATION CENTER LLC
Practice Location Address:

4490 VIRGINIA LOOP RD
MONTGOMERY, AL
36116-3448

Practice Phone: 334-281-6826
Practice Fax:

1194660357 — MARYAM AFIFAH HAMZIA CNEP
Practice Location Address:

3138 WOODLEY RD
MONTGOMERY, AL
36116-3151

Practice Phone: 334-590-6880
Practice Fax:

Directions to “ DANEL WHITEHEAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.