| Danielle Wiggins | |
|
182 Fox Hollow Dr Magnolia DE 19962-2751 | |
| (302) 494-3397 | |
| Not Available |
| Full Name | Danielle Wiggins |
|---|---|
| Speciality | Psychologist |
| Location | 182 Fox Hollow Dr, Magnolia, Delaware |
| Authorized Official Name and Position | Danielle Wiggins (OWNER) |
| Authorized Official Contact | 3024943397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle Wiggins 182 Fox Hollow Dr Magnolia DE 19962-2751 Ph: () - | Danielle Wiggins 182 Fox Hollow Dr Magnolia DE 19962-2751 Ph: (302) 494-3397 |
| NPI Number | 1538670377 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 06/11/2020 |
| Certification Date | 06/11/2020 |
| Medicare PECOS PAC ID | 1456695931 |
|---|---|
| Medicare Enrollment ID | O20181211000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538670377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TF0000X | Psychologist - Family | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | Q1-0001348 (Delaware) | Secondary |
| Provider Name | Walter Homsey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386040392 PECOS PAC ID: 7012275688 Enrollment ID: I20180103002601 |
| Provider Name | Danielle C Mandujano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831584630 PECOS PAC ID: 0941572929 Enrollment ID: I20181211001090 |
Enlightened Hearts Psychotherapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 454 W Birdie Ln, Magnolia, DE 19962 Phone: 914-440-0772 | |
Marilyn Green Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 29 Trussum Drive, Magnolia, DE 19962 Phone: 845-578-3178 Fax: 302-469-5420 |