Provider Demographics
NPI:1952674343
Name:CRESCENTI, DANIELLE LINDSEY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:LINDSEY
Last Name:CRESCENTI
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 TIFFANY DR
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60194-3827
Mailing Address - Country:US
Mailing Address - Phone:847-436-3481
Mailing Address - Fax:
Practice Address - Street 1:2033 TIFFANY DR
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-3827
Practice Address - Country:US
Practice Address - Phone:847-436-3481
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
IL150014963104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health