Provider Demographics
NPI:1467704494
Name:MCDONAUGH, DANIELLE CONSTANCE (LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:CONSTANCE
Last Name:MCDONAUGH
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 1:303 5TH AVE RM 604
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6633
Mailing Address - Country:US
Mailing Address - Phone:631-456-2735
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 604
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6633
Practice Address - Country:US
Practice Address - Phone:631-456-2735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-15
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0876751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical