Provider Demographics
NPI:1629477997
Name:WOLF, DANIELA ANA (LCPAT, ATR-BC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:DANIELA
Middle Name:ANA
Last Name:WOLF
Suffix:
Gender:F
Credentials:LCPAT, ATR-BC, LCPC
Other - Prefix:MS
Other - First Name:DANIELA
Other - Middle Name:ANA
Other - Last Name:BENSHALOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6500 SEVEN LOCKS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1300
Mailing Address - Country:US
Mailing Address - Phone:301-922-9484
Mailing Address - Fax:
Practice Address - Street 1:6500 SEVEN LOCKS RD STE 206
Practice Address - Street 2:
Practice Address - City:CABIN JOHN
Practice Address - State:MD
Practice Address - Zip Code:20818-1300
Practice Address - Country:US
Practice Address - Phone:301-922-9484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-22
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDATC033221700000X
MDLC7971101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist