Provider Demographics
NPI:1114077286
Name:HARRISON, DANIELLE (MSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:DAGUANNO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7600 STENTON AVE
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19118-3231
Mailing Address - Country:US
Mailing Address - Phone:215-247-5400
Mailing Address - Fax:215-247-5175
Practice Address - Street 1:7600 STENTON AVE
Practice Address - Street 2:SUITE 1F
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19118-3231
Practice Address - Country:US
Practice Address - Phone:215-247-5400
Practice Address - Fax:215-247-5175
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW01300SL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7085423OtherAETNA
PA2321555000OtherPERSONAL CHOICE
PA349795000OtherMAGELLAN