Provider Demographics
NPI:1851922694
Name:TOMPKINS, DANIELLA MARIE (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLA
Middle Name:MARIE
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 YACHT CLUB WAY APT 206
Mailing Address - Street 2:
Mailing Address - City:HYPOLUXO
Mailing Address - State:FL
Mailing Address - Zip Code:33462-6021
Mailing Address - Country:US
Mailing Address - Phone:516-780-1991
Mailing Address - Fax:
Practice Address - Street 1:140 YACHT CLUB WAY APT 206
Practice Address - Street 2:
Practice Address - City:HYPOLUXO
Practice Address - State:FL
Practice Address - Zip Code:33462-6021
Practice Address - Country:US
Practice Address - Phone:516-780-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-30
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1081451041C0700X
FL236251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical