Provider Demographics
NPI:1558875971
Name:GERACI, DANIELLE JO (LCSW, CSAC)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JO
Last Name:GERACI
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:JO
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, CSAC
Mailing Address - Street 1:2977 N BARTLETT AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53211-3264
Mailing Address - Country:US
Mailing Address - Phone:608-548-3290
Mailing Address - Fax:
Practice Address - Street 1:500 E VETERANS ST
Practice Address - Street 2:
Practice Address - City:TOMAH
Practice Address - State:WI
Practice Address - Zip Code:54660-3105
Practice Address - Country:US
Practice Address - Phone:608-372-3971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-21
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16451-132101YA0400X
WI9452-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)