Provider Demographics
NPI:1679958060
Name:NAY, DANIELLE ELISE (LMSW)
Entity type:Individual
Prefix:MISS
First Name:DANIELLE
Middle Name:ELISE
Last Name:NAY
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 1:7930 KEY LARGO DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-4171
Mailing Address - Country:US
Mailing Address - Phone:775-745-8924
Mailing Address - Fax:
Practice Address - Street 1:855 MILL ST STE 1A
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1499
Practice Address - Country:US
Practice Address - Phone:775-501-8655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9508-M104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1679958060Medicaid