Provider Demographics
NPI:1669144978
Name:STANLEY, DANIELLE BIASOTTO (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:BIASOTTO
Last Name:STANLEY
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 1:118 ALLERTON ROAD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08801
Mailing Address - Country:US
Mailing Address - Phone:908-399-3340
Mailing Address - Fax:
Practice Address - Street 1:105 ROUTE 31 STE 2
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-5745
Practice Address - Country:US
Practice Address - Phone:908-627-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054422001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty