Provider Demographics
NPI:1902409832
Name:ROPP, DANIELLE MICHELLE (LPN, MSW, CSWA)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:MICHELLE
Last Name:ROPP
Suffix:
Gender:F
Credentials:LPN, MSW, CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8604 SW 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-4319
Mailing Address - Country:US
Mailing Address - Phone:037-018-7255
Mailing Address - Fax:
Practice Address - Street 1:8604 SW 11TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-4319
Practice Address - Country:US
Practice Address - Phone:037-018-7255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORA5779104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker