Provider Demographics
NPI:1881884674
Name:ELDRED, DANIELLE BROOKS (PSYD, MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:BROOKS
Last Name:ELDRED
Suffix:
Gender:F
Credentials:PSYD, MSW, LCSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:BROOKS
Other - Last Name:BODEAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 2ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4459
Mailing Address - Country:US
Mailing Address - Phone:951-382-4710
Mailing Address - Fax:
Practice Address - Street 1:700 2ND ST STE C
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4459
Practice Address - Country:US
Practice Address - Phone:951-382-4710
Practice Address - Fax:955-501-3487
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW656201041C0700X
COCSW.099280791041C0700X
CA35698103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical