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Deactivated NPI 1245608801 Deactivated / Inactive NPI Male Practitioner

Robert Thomas Danielson , LMSW

Social Worker • Setauket, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Danielson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2015
NPI Deactivation Date April 15, 2020
Total Practice Duration ~5 Years of Practice (2015 – 2020)

Professional Overview & Biography Verified Profile Summary

Robert Danielson, LMSW was a registered Social Worker practicing in Setauket, NY. Throughout an active medical career spanning 5 years, Robert Danielson provided care at the practice location at 13 THOMPSON HAY PATH until profile deactivation on 2020-04-15.

Practice Location & Contact Primary Location

Practice Address

13 Thompson Hay Path

Setauket, NY 117331317

Telephone 6317510197
Fax 6317510244

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Setauket, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
14 Specialists

Practicing in Setauket, NY (23970 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-20
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 104742-01

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1104242098
NPI 1134640774

Master of Social Work

Jessie Gould

Counselor

NPI 1154744076
Deborah Furman

Counselor - Mental Health

NPI 1154759900
Evan Rafferty

Counselor - Mental Health

NPI 1174951925
Courtney Beers , RN

Registered Nurse

NPI 1275912362

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
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Provider Name / Credentials Updated April 29, 2022

Recorded as ROBERT DANIELSON, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2022

Social Worker (License #104742-01 in NY)

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Updated Practice Location July 14, 2020

Registered at 13 THOMPSON HAY PATH, SETAUKET, NY 117331317 (Tel: 6317510197)

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Updated Business Mailing Address July 14, 2020

Registered at 86 BALIN AVE, SOUTH SETAUKET, NY 117201116

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Provider Name / Credentials Updated July 14, 2020

Recorded as ROBERT DANIELSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2020

Student in an Organized Health Care Education/Training Program (License #983486133 in NY)

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NPI Profile Deactivated April 15, 2020

Record deactivated on April 15, 2020

NPI Profile Active September 11, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2015

Registered at 13 THOMPSON HAY PATH, SETAUKET, NY 117331317 (Tel: 6317510197)

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Updated Business Mailing Address September 11, 2015

Registered at 86 BALIN AVE, SOUTH SETAUKET, NY 117201116

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Provider Name / Credentials Updated September 11, 2015

Recorded as ROBERT DANIELSON

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2015

Student in an Organized Health Care Education/Training Program (License #983486133 in NY)

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Initial NPI Registration & Enumeration September 11, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245608801
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2015
Last Update: April 29, 2022
Deactivation Date: April 15, 2020
Sole Proprietor: Yes

Mailing Address

86 Balin Ave

South Setauket, NY 117201116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.