Provider Demographics
NPI:1609205087
Name:DANIELS, NIKKI ANNE (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:ANNE
Last Name:DANIELS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 W PLATT ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33606-2136
Mailing Address - Country:US
Mailing Address - Phone:813-324-5715
Mailing Address - Fax:813-867-0797
Practice Address - Street 1:1200 W PLATT ST
Practice Address - Street 2:SUITE 202
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33606-2136
Practice Address - Country:US
Practice Address - Phone:813-324-5715
Practice Address - Fax:813-867-0797
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-05
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW34561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical