Gaffke, Danielle L

Gaffke, Danielle L is an sole proprietor health care provider with primary practice located at 150 E Cook Ave Suite 105, Libertyville IL 60048-2060. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gaffke, Danielle L can be contacted via phone (919) 285-8417.

Contact Information

Primary practice address
150 E Cook Ave Suite 105 Libertyville IL 60048-2060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149.017017 Illinois

Profile Details

NPI number 1063562189
LBN Legal business name Gaffke, Danielle L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Mar 23rd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063562189 NPPES
Illinois Other 149.017017 IL DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION

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