Provider Demographics
NPI:1033155098
Name:FLOOD, DANIEL JAMES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:JAMES
Last Name:FLOOD
Suffix:
Gender:M
Credentials:LCSW
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Mailing Address - Street 1:829 S IOWA ST
Mailing Address - Street 2:UPLANDS COUNSELING ASSOCIATES
Mailing Address - City:DODGEVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53533
Mailing Address - Country:US
Mailing Address - Phone:608-935-2838
Mailing Address - Fax:608-935-9227
Practice Address - Street 1:9 ODANA COURT SUITE 203
Practice Address - Street 2:UPLANDS COUNSELING ASSOCIATES
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719
Practice Address - Country:US
Practice Address - Phone:608-274-5781
Practice Address - Fax:608-274-2848
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI7491231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical