Daniels, Dianne C
Daniels, Dianne C is an sole proprietor health care provider with primary practice located at 7801 Wilshire Ave Ne La Cueva Hs, Albuquerque NM 87122-2807. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Daniels, Dianne C can be contacted via phone (505) 823-2327.Contact Information
Primary practice address
7801 Wilshire Ave Ne La Cueva Hs
Albuquerque NM 87122-2807
Phone: (505) 823-2327
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | I 0044 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | I 0044 | New Mexico |
Profile Details
| NPI number | 1215065297 |
|---|---|
| LBN Legal business name | Daniels, Dianne C |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 13th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215065297 | NPPES |
| New Mexico | MEDICAID | H 3128 |
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