Provider Demographics
NPI:1447099783
Name:KOLOS, DANIELLE NAOLI (LCSW)
Entity type:Individual
Prefix:
First Name:DANIELLE
Middle Name:NAOLI
Last Name:KOLOS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:613 DORCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2014
Mailing Address - Country:US
Mailing Address - Phone:443-975-9777
Mailing Address - Fax:
Practice Address - Street 1:613 DORCHESTER AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15226-2014
Practice Address - Country:US
Practice Address - Phone:443-975-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0244521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical