Provider Demographics
NPI:1497167605
Name:BEARDSLEY, DANIELLE K (LCPC, CADC, ATR)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:K
Last Name:BEARDSLEY
Suffix:
Gender:F
Credentials:LCPC, CADC, ATR
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:K
Other - Last Name:LOCASCIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCPC, CADC, ATR
Mailing Address - Street 1:13400 S ROUTE 59 STE 116-175
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-5826
Mailing Address - Country:US
Mailing Address - Phone:331-442-7215
Mailing Address - Fax:815-846-6162
Practice Address - Street 1:13400 S ROUTE 59 STE 116-175
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-5826
Practice Address - Country:US
Practice Address - Phone:331-442-7215
Practice Address - Fax:815-846-6162
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL31775101YA0400X
IL15-026221700000X
IL180010717101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist