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
Phone: (919) 285-8417
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063562189 | NPPES |
Illinois | Other | 149.017017 | IL DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION |
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