MEDICARE: LINNIEANNE DANIEL 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	1041C0700X	Clinical Social Worker	0904013929	VA

General Provider Information

NPI Number	:	1730823493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINNIEANNE DANIEL LCSW

Provider Business Mailing Address
First Line	:	63 FALL DR
Second Line	:
City	:	COLLINSVILLE
State	:	VA
Zip	:	24078-2628
Country	:	US
Telephone Number	:	276-618-2660
Fax Number	:

Provider Business Practice Location Address
First Line	:	63 FALL DR
Second Line	:
City	:	COLLINSVILLE
State	:	VA
Zip	:	24078-2628
Country	:	US
Telephone Number	:	276-444-0377
Fax Number	:

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

Provider Enumeration Date	:	04/27/2022
Last Update Date	:	01/27/2026

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