Provider Demographics
NPI:1295329738
Name:WEST, DANIELLE KATHLEEN (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:KATHLEEN
Last Name:WEST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5614 NUTMEG AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2531
Mailing Address - Country:US
Mailing Address - Phone:941-264-9290
Mailing Address - Fax:
Practice Address - Street 1:2900 N MILITARY TRL STE 241
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6347
Practice Address - Country:US
Practice Address - Phone:561-678-0661
Practice Address - Fax:561-464-5501
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-25
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW176191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical