Provider Demographics
NPI:1699871590
Name:QUIGLEY, DANIELLE LEIGH (LCSW, LADC)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:LEIGH
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:LCSW, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OLD ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804
Mailing Address - Country:US
Mailing Address - Phone:203-775-2583
Mailing Address - Fax:203-775-2863
Practice Address - Street 1:31 OLD ROUTE 7
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804
Practice Address - Country:US
Practice Address - Phone:203-775-2583
Practice Address - Fax:203-775-2863
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000569101YA0400X
CT0047471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT163857OtherVALUE OPTIONS NUMBER
CT140004747CT01OtherATHEM/BCBS PROVIDER
CT189902OtherMHN NUMBER
CT260607000OtherMAGELLAN NUMBER