Provider Demographics
NPI:1639145097
Name:DOYLE, DANIELLE L (LICSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:L
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:A
Other - Last Name:LEDUC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1 CRESTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1211
Mailing Address - Country:US
Mailing Address - Phone:508-361-4142
Mailing Address - Fax:
Practice Address - Street 1:1 CRESTWOOD LN
Practice Address - Street 2:
Practice Address - City:SOUTH EASTON
Practice Address - State:MA
Practice Address - Zip Code:02375-1211
Practice Address - Country:US
Practice Address - Phone:508-361-4142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1104781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical