NPI Registry.org

Daniel Nordstrom

NPI Registration Record

Provider / OrganizationNPIDate Certified
DANIEL NORDSTROM15781054742024-10-13

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 ID6709118235
RegistrationPART-B:Y
DME:Y
HHA:N
PMD:N
Entity TypeIndividual
Provider Name Daniel Nordstrom LCSW
Practice Office Address2418 WINNEBAGO ST APT 416
MADISON, WI US
Practice Office Telephone6084464856
Mailing Address2418 WINNEBAGO ST APT 416
MADISON, WI 537045456 US
Business Telephone6084464856
Contact Endpoints
Direct Messaging Address [][email protected]
HPT Codes
CodePractice
License No
State
1041C0700X PRIMARYAccess 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
OPI Codes
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