Provider Demographics
NPI:1578982443
Name:KING, DANIELLE (LSW, HSV)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:KING
Suffix:
Gender:F
Credentials:LSW, HSV
Other - Prefix:MRS
Other - First Name:DANIELLE
Other - Middle Name:M
Other - Last Name:ASTFALK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW, HSV
Mailing Address - Street 1:2432 GREENSBURG PIKE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-3611
Mailing Address - Country:US
Mailing Address - Phone:412-342-4356
Mailing Address - Fax:412-244-1902
Practice Address - Street 1:2432 GREENSBURG PIKE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-3611
Practice Address - Country:US
Practice Address - Phone:412-342-4356
Practice Address - Fax:412-244-1902
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1284271041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool