Provider Demographics
NPI:1396455820
Name:SLAVIN, DANIELLE N (LSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:N
Last Name:SLAVIN
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 1:39 ALPINE RD
Mailing Address - Street 2:
Mailing Address - City:WANTAGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07461-1249
Mailing Address - Country:US
Mailing Address - Phone:973-534-9815
Mailing Address - Fax:
Practice Address - Street 1:601 JEFFERSON RD STE 200
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3790
Practice Address - Country:US
Practice Address - Phone:201-580-6235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-23
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL065529001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical