Provider Demographics
NPI:1194343574
Name:MUNKSGARD, DANIELLE (LSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:MUNKSGARD
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:STOYSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15563-0215
Mailing Address - Country:US
Mailing Address - Phone:814-688-4232
Mailing Address - Fax:
Practice Address - Street 1:485 BERLIN PLANK RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2415
Practice Address - Country:US
Practice Address - Phone:814-701-2898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-11
Last Update Date:2020-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker