Provider Demographics
NPI:1437278983
Name:ROBERTSON, DANNIELLE D (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DANNIELLE
Middle Name:D
Last Name:ROBERTSON
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 1:14107 DUNCAN LN
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77302-4533
Mailing Address - Country:US
Mailing Address - Phone:832-428-8290
Mailing Address - Fax:
Practice Address - Street 1:25910 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-2018
Practice Address - Country:US
Practice Address - Phone:281-367-9836
Practice Address - Fax:281-362-1473
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50603104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker