Provider Demographics
NPI:1316746670
Name:BRYANT, DANIELLE (MSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:BRYANT
Suffix:
Gender:
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3049 CLARKE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456-7923
Mailing Address - Country:US
Mailing Address - Phone:757-559-1690
Mailing Address - Fax:757-767-7921
Practice Address - Street 1:6350 NORTH CENTER DRIVE
Practice Address - Street 2:BULIDING 5 SUITE 106
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23502-2350
Practice Address - Country:US
Practice Address - Phone:757-559-1690
Practice Address - Fax:757-767-7921
Is Sole Proprietor?:No
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060143391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical