Provider Demographics
NPI:1538640743
Name:HUNERBERG, DANIELA NICOLE (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:NICOLE
Last Name:HUNERBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:NICOLE
Other - Last Name:TULLIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 PATUXENT LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-7543
Mailing Address - Country:US
Mailing Address - Phone:561-578-0372
Mailing Address - Fax:
Practice Address - Street 1:1645 PALM BEACH LAKES BLVD STE 440
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-2217
Practice Address - Country:US
Practice Address - Phone:561-578-0372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-25
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW142341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical