Provider Demographics
NPI:1902441025
Name:GATNY, DANIELLE (LMSW, MSW)
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:
Last Name:GATNY
Suffix:
Gender:F
Credentials:LMSW, MSW
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:
Other - Last Name:NORDBROCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW, MSW
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:PAW PAW
Mailing Address - State:MI
Mailing Address - Zip Code:49079-0249
Mailing Address - Country:US
Mailing Address - Phone:269-657-5574
Mailing Address - Fax:
Practice Address - Street 1:57418 COUNTY ROAD 681 STE C
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:MI
Practice Address - Zip Code:49057-9421
Practice Address - Country:US
Practice Address - Phone:269-621-6251
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010901371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical