Provider Demographics
NPI:1083992457
Name:PICCIOTTI, MARIA DANIELLE (MSW, LCSW, C-DBT)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:DANIELLE
Last Name:PICCIOTTI
Suffix:
Gender:F
Credentials:MSW, LCSW, C-DBT
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:DANIELLE
Other - Last Name:CULP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:424 BECK RD
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-2208
Mailing Address - Country:US
Mailing Address - Phone:215-906-6062
Mailing Address - Fax:
Practice Address - Street 1:424 BECK RD
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-2208
Practice Address - Country:US
Practice Address - Phone:215-906-6062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-02
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0237441041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical