Dimitrova, Dani
Dimitrova, Dani is an individual health care provider with primary practice located at 204 Brantley Harbor Dr , Saint Augustine FL 32086-1822. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dimitrova, Dani can be contacted via phone (203) 300-3335.Contact Information
Primary practice address
204 Brantley Harbor Dr
Saint Augustine FL 32086-1822
Phone: (203) 300-3335
Fax: (940) 574-4096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW17048 | Florida |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 009620 | Connecticut |
Profile Details
| NPI number | 1578918876 |
|---|---|
| LBN Legal business name | Dimitrova, Dani |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2016 |
| Last updated | Mar 16th, 2022 - about 4 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 | 1578918876 | NPPES |
| Connecticut | Other | 13817474 | CAQH |
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