Provider Demographics
NPI:1245080688
Name:REINSBURROW, DANELLE (LSW)
Entity type:Individual
Prefix:
First Name:DANELLE
Middle Name:
Last Name:REINSBURROW
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:599 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:TURBOTVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17772-8561
Mailing Address - Country:US
Mailing Address - Phone:570-854-0795
Mailing Address - Fax:
Practice Address - Street 1:273 E 7TH ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-2853
Practice Address - Country:US
Practice Address - Phone:570-507-7170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-26
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141084104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker