Provider Demographics
NPI:1053082453
Name:HOARE, DANIELLE N (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:N
Last Name:HOARE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 IVY LEA
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1419
Mailing Address - Country:US
Mailing Address - Phone:716-982-1855
Mailing Address - Fax:
Practice Address - Street 1:52 IVY LEA
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14223-1419
Practice Address - Country:US
Practice Address - Phone:716-982-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-24
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty