Provider Demographics
NPI:1457958555
Name:PADDEN, DANIELLE ALEXIS (LMSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:ALEXIS
Last Name:PADDEN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:ALEXIS
Other - Last Name:THOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:5607 MYRTLE AVE # 2
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-4735
Mailing Address - Country:US
Mailing Address - Phone:917-912-6528
Mailing Address - Fax:
Practice Address - Street 1:5 E 17TH ST FL 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-1949
Practice Address - Country:US
Practice Address - Phone:212-989-2900
Practice Address - Fax:212-792-6055
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-02
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program