Provider Demographics
NPI:1649150772
Name:GILLESPIE, DANIELLE J (LMSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:J
Last Name:GILLESPIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 WOODRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-1926
Mailing Address - Country:US
Mailing Address - Phone:204-462-8743
Mailing Address - Fax:
Practice Address - Street 1:3 BETHESDA METRO CTR STE 840
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-6311
Practice Address - Country:US
Practice Address - Phone:240-462-8743
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD318361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty