Provider Demographics
NPI:1023726395
Name:DANIELLE STONER, LCSW, PMH-C
Entity type:Organization
Organization Name:DANIELLE STONER, LCSW, PMH-C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:STONER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:716-218-8413
Mailing Address - Street 1:1924 KEYSTONE DR STE 1010
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16509-7702
Mailing Address - Country:US
Mailing Address - Phone:716-218-8413
Mailing Address - Fax:716-306-3965
Practice Address - Street 1:67 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-2751
Practice Address - Country:US
Practice Address - Phone:716-218-8413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty