Provider Demographics
NPI:1083135560
Name:CLINGMAN, DANIELL E
Entity Type:Individual
Prefix:
First Name:DANIELL
Middle Name:E
Last Name:CLINGMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23592 W WAYLAND DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-7245
Mailing Address - Country:US
Mailing Address - Phone:602-684-7400
Mailing Address - Fax:602-279-1431
Practice Address - Street 1:23592 W WAYLAND DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-7245
Practice Address - Country:US
Practice Address - Phone:602-684-7400
Practice Address - Fax:602-279-1431
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
8594937OtherDCS/OLR