MRS. HATTIE DANIELSRUSH (NPI# 1770722217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770722217 |
| Entity Type | Individual |
| Full Name | MRS. HATTIE DANIELSRUSH |
| Credential | MSW |
| Practice Address |
8960 N Santa Monica Blvd Suite 1 Bayside WI 53217-1752 |
| Mailing Address |
8960 N. Santa Monica Blvd Suite 1 Bayside WI 53217 |
| Practice Telephone | 4143972222 |
| Practice Fax Number | 4145409926 |
| Mailing Telephone | 4143972222 |
| Mailing Fax Number | 4145409926 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2009-02-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
483124 | WI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3312-123 | WI | Behavioral Health & Social Service Providers |
| Street Address |
8960 N SANTA MONICA BLVD SUITE 1 |
| City | BAYSIDE |
| State | WI |
| Zip Code | 53217-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922632587 | Jasmine Dockery | Pharmacist | 5400 N Port Washington, Glendale, WI 53217 | 2020-02-23 |
| 1174017339 | North Lakes Nursing Home Health Care Agency LLC | Home Health | 225 E Fairmount Ave, Milwaukee, WI 53217 | 2018-06-20 |
| 1083140289 | Miriah Ann King, Ms, Lpc | Counselor | 7805 North Boyd Way, Fox Point, WI 53217 | 2017-05-08 |
| 1245783067 | Lakesha L Jones | Counselor | 5235 N Ironwood Rd, Glendale, WI 53217 | 2016-07-28 |
| 1750783312 | Ibrahim S Abouzeid | Specialist/Technologist, Other | 333 W Brown Deer Road, #240, Milwaukee, WI 53217 | 2014-09-25 |
| 1255733598 | Victoria Gorodetsky | Pharmacist | 229 W Indian Creek Ct, Milwaukee, WI 53217 | 2014-09-18 |
| 1174800049 | John Herman Esser | Internal Medicine | 1050 W Acacia Rd, Milwaukee, WI 53217 | 2011-11-07 |
| 1710298351 | Leann M Harman | Physical Therapist | 5333 N Port Washington Rd Ste B, Glendale, WI 53217 | 2010-06-29 |
| 1306012455 | Emily Marie Gallagher | Speech-Language Pathologist | 6700 N. Port Washington Road, Milwaukee, WI 53217 | 2008-05-07 |
| 1164625455 | Mary Catherine Enderlin | Psychologist | 6110 N Port Washington Road, The Cambridge Group, Glendale, WI 53217 | 2007-06-06 |
| Find all providers in zip 53217 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609496355 | Lisa Robin Klein Schneider | Social Worker | 206-14 Lori Drive,floor 3, Bayside, NY 11360-1136 | 2020-04-23 |
| 1336775543 | Ruksana Baksh | Social Worker | 20020 15th Rd Fl 2, Bayside, NY 11360-1036 | 2020-03-19 |
| 1750925301 | Laura J Gormly | Social Worker | 4560 211th St, Bayside, NY 11361-3248 | 2019-11-06 |
| 1780169342 | Joanne M Donovan | Social Worker | 3411 202nd St, Bayside, NY 11361-1145 | 2018-09-30 |
| 1144508771 | Lynn C. Moses | Social Worker | Fort Totten, Building 413, Bayside, NY 11359 | 2011-08-01 |
| 1689984163 | Linda M Fodera | Social Worker | 21245 26th Ave Ste 4a, Bayside, NY 11360-1901 | 2010-10-18 |
| 1710212014 | Sonia Ruth Cevallos | Social Worker | 216-15 Northem Blvd, 2 Floor, Bayside, NY 11361 | 2009-10-05 |
| 1285878041 | Elliot Bardavid | Social Worker | 20939 23rd Ave, Suite 6a, Bayside, NY 11360-1844 | 2009-04-23 |
| 1891940193 | Debra J. Bardavid | Social Worker | 209-39 23rd Ave., 6a, Bayside, NY 11360 | 2008-12-01 |
| 1952500761 | Chia-hsin Liang | Social Worker | 23-91 Bell Blvd Suite 205, Bayside, NY 11360 | 2007-07-12 |
| Find all providers in BAYSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.