Provider Demographics
NPI:1699237222
Name:DEOLIVEIRA, DANIELE
Entity type:Individual
Prefix:
First Name:DANIELE
Middle Name:
Last Name:DEOLIVEIRA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4927
Mailing Address - Country:US
Mailing Address - Phone:646-739-3642
Mailing Address - Fax:
Practice Address - Street 1:162 OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:ATLANTIC HIGHLANDS
Practice Address - State:NJ
Practice Address - Zip Code:07716-1517
Practice Address - Country:US
Practice Address - Phone:646-739-3642
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW210471041C0700X
NJ44SC061979001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical