Provider Demographics
NPI:1497445506
Name:WILSON, DANIELLE FRANCINE GRACE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:FRANCINE GRACE
Last Name:WILSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:FRANCINE GRACE
Other - Last Name:PINKERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:575 ALBERTA DR STE 2
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1139
Mailing Address - Country:US
Mailing Address - Phone:716-832-0720
Mailing Address - Fax:716-832-5867
Practice Address - Street 1:575 ALBERTA DR STE 2
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1139
Practice Address - Country:US
Practice Address - Phone:716-832-0720
Practice Address - Fax:716-832-5867
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY097681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker