Provider Demographics
NPI:1063384840
Name:BALDWIN, DANESHA MARIE
Entity type:Individual
Prefix:MRS
First Name:DANESHA
Middle Name:MARIE
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DANESHA
Other - Middle Name:MARIE
Other - Last Name:BALDWIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:27117 DAKOTA DR
Mailing Address - Street 2:
Mailing Address - City:FORT RILEY
Mailing Address - State:KS
Mailing Address - Zip Code:66442-4877
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:27117 DAKOTA DR
Practice Address - Street 2:
Practice Address - City:FORT RILEY
Practice Address - State:KS
Practice Address - Zip Code:66442-4877
Practice Address - Country:US
Practice Address - Phone:850-559-4649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13994104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker