DANIELLE S CARLSON (MSW) – Clinical Social Worker, NPI 1003073669

DANIELLE S CARLSON (MSW) is a healthcare provider. based in Wauwatosa, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 7635-123 (WI). The NPI Number for DANIELLE S CARLSON (MSW) is 1003073669

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE S CARLSON (MSW)
NPI
1003073669
Phone
(414) 777-0740
Address
10702 W BURLEIGH ST
Enumeration Date
21 May 2008
Last Update Date
21 December 2016

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4143297000
Graduation Year
2003 (23 years ago)
PAC ID
7810355286
Group Practice PAC ID
8426954066
Professional Enrollment ID
I20230615003543
Address ID
WI532272151WE2514XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for DANIELLE S CARLSON (MSW)

  • 10702, West Burleigh Street, Wauwatosa, Milwaukee County, Wisconsin, 53222, United States

    WAUWATOSA, WI 532223310

    Phone: (414) 777-0740

    Fax: (414) 777-0749

    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: 2023-06-15

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
I20230615003543IClinical Social WorkerWITBD

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 53222)

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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: 8426954066View full group profile
NameSpecialtyState
-WI
Clinical PsychologistWI
Psychiatry, General PracticeWI
Mental Health CounselorWI
Clinical PsychologistWI
Mental Health CounselorWI
Clinical Social WorkerWI
Clinical PsychologistWI
Clinical Social WorkerWI
P S Y C H I A T R YWI

Reviews

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Frequently asked questions

What is DANIELLE S CARLSON (MSW)'s NPI number?
DANIELLE S CARLSON (MSW)'s NPI is 1003073669 — the number used across U.S. healthcare to identify this provider.
Would DANIELLE S CARLSON (MSW) appear as active to a payer?
You can treat DANIELLE S CARLSON (MSW) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for DANIELLE S CARLSON (MSW)?
At a glance, DANIELLE S CARLSON (MSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is DANIELLE S CARLSON (MSW) registered?
Use Wauwatosa, Wisconsin as the headline location for DANIELLE S CARLSON (MSW) here.
When was this NPI issued?
Enumeration for DANIELLE S CARLSON (MSW) is noted as May 21, 2008 where the registry provides it.