Provider Demographics
NPI:1740512268
Name:MERCURI, DANIELLE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:
Last Name:MERCURI
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 1:5701 NORTH FLORIDA AVENUE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-7239
Mailing Address - Country:US
Mailing Address - Phone:727-897-5899
Mailing Address - Fax:813-969-4950
Practice Address - Street 1:5701 NORTH FLORIDA AVENUE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33604-7239
Practice Address - Country:US
Practice Address - Phone:727-897-5899
Practice Address - Fax:813-969-4950
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 95641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW 9564OtherFLORIDA LICENSE NUMBER