Provider Demographics
NPI:1710133111
Name:LAROCHE, DANIELLE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:M
Last Name:LAROCHE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1450 W HIGHWAY 290 UNIT 1501
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-1863
Mailing Address - Country:US
Mailing Address - Phone:818-724-4356
Mailing Address - Fax:
Practice Address - Street 1:1450 W HIGHWAY 290 UNIT 1501
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-1863
Practice Address - Country:US
Practice Address - Phone:818-724-4356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CALCSW648761041C0700X
TX1112001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health