MS. DANELLE WILLIAMS (MSW LICSW) – Clinical Social Worker, NPI 1386642114

MS. DANELLE WILLIAMS (MSW LICSW) is a healthcare provider. based in Shakopee, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW LICSW. They hold a License No. 9603 (MN). The NPI Number for MS. DANELLE WILLIAMS (MSW LICSW) is 1386642114

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
MS. DANELLE WILLIAMS (MSW LICSW)
NPI
1386642114
Phone
(952) 496-8569
Address
200 4TH AVE W
Enumeration Date
14 July 2005
Last Update Date
4 May 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524968481
Graduation Year
2011 (15 years ago)
PAC ID
1658686621
Group Practice PAC ID
4587605225
Professional Enrollment ID
I20150819009324
Address ID
MN553791220SH200XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MS. DANELLE WILLIAMS (MSW LICSW)

  • 200, 4th Avenue West, Shakopee, Scott County, Minnesota, 55379, United States

    GOVERNMENT CENTER, RM 300

    SHAKOPEE, MN 553791220

    Phone: (952) 496-8569

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150819009324IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55379)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587605225View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
-MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
-MN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What is the registry number for MS. DANELLE WILLIAMS (MSW LICSW)?
The registry entry for MS. DANELLE WILLIAMS (MSW LICSW) shows NPI 1386642114.
Does the public listing show MS. DANELLE WILLIAMS (MSW LICSW) as active?
MS. DANELLE WILLIAMS (MSW LICSW)'s NPI record reflects an active status in NPPES.
What type of care does MS. DANELLE WILLIAMS (MSW LICSW) provide?
MS. DANELLE WILLIAMS (MSW LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. DANELLE WILLIAMS (MSW LICSW)?
MS. DANELLE WILLIAMS (MSW LICSW) is associated with Shakopee, Minnesota in the same public data insurers reference.
Can I export MS. DANELLE WILLIAMS (MSW LICSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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