Provider Demographics
NPI:1639325103
Name:HARTE, DANIELLE (LCSW-R)
Entity Type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:
Last Name:HARTE
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:ADELPHIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07710-0116
Mailing Address - Country:US
Mailing Address - Phone:917-796-2867
Mailing Address - Fax:
Practice Address - Street 1:16 WYCKOFF MILLS RD UNIT 116
Practice Address - Street 2:
Practice Address - City:ADELPHIA
Practice Address - State:NJ
Practice Address - Zip Code:07710-1005
Practice Address - Country:US
Practice Address - Phone:917-796-2867
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078385-11041C0700X
NJ44SC055735001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical