Provider Demographics
NPI:1356669212
Name:NERI, DANIELLE MARIE
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:MARIE
Last Name:NERI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 PLANK RD STE 209
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-2063
Mailing Address - Country:US
Mailing Address - Phone:518-545-4691
Mailing Address - Fax:518-704-4727
Practice Address - Street 1:3 ARTHUR RD
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:NY
Practice Address - Zip Code:12110-5101
Practice Address - Country:US
Practice Address - Phone:518-376-3910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NY0849921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor