| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DANIEL NORDSTROM | 1578105474 | 2024-10-13 |
Daniel J Nordstrom [M] graduated in 2006 from University Of Wisconsin School Of Medicine and primarily specializes in Clinical Social Worker.
Daniel Nordstrom is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1578105474. Registration indicates Daniel Nordstrom is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
| PECOS ID | 6709118235 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Daniel Nordstrom LCSW |
| Practice Office Address | 2418 WINNEBAGO ST APT 416 MADISON, WI US |
| Practice Office Telephone | 6084464856 |
| Mailing Address | 2418 WINNEBAGO ST APT 416 MADISON, WI 537045456 US |
| Business Telephone | 6084464856 |
| Direct Messaging Address [] | [email protected] |
| Code | Practice | License No State |
|---|---|---|
| 1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 128227
WI |