Provider Demographics
NPI:1790091452
Name:MARTI, DANIELLE MARIE FISCHER (MSW, LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE MARIE
Middle Name:FISCHER
Last Name:MARTI
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:NEW ULM
Mailing Address - State:MN
Mailing Address - Zip Code:56073-3454
Mailing Address - Country:US
Mailing Address - Phone:507-354-2080
Mailing Address - Fax:507-354-2086
Practice Address - Street 1:1226 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:NEW ULM
Practice Address - State:MN
Practice Address - Zip Code:56073-3454
Practice Address - Country:US
Practice Address - Phone:507-359-2080
Practice Address - Fax:507-359-2086
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN202791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical