Provider Demographics
NPI:1962158931
Name:FLITCRAFT, DANIELLE L (LCSW)
Entity type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:L
Last Name:FLITCRAFT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:L
Other - Last Name:SALVIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:401 ROUTE 73 N STE 320
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3426
Mailing Address - Country:US
Mailing Address - Phone:856-228-1061
Mailing Address - Fax:
Practice Address - Street 1:412 EWAN RD
Practice Address - Street 2:
Practice Address - City:MULLICA HILL
Practice Address - State:NJ
Practice Address - Zip Code:08062-3707
Practice Address - Country:US
Practice Address - Phone:856-343-3910
Practice Address - Fax:866-205-4090
Is Sole Proprietor?:No
Enumeration Date:2022-02-28
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC057433001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical