DANILLE RAVEN CORNWELL - NPI 1013672187 - Peer Specialist in Riverhead, NY

Q: What is Danille Cornwell's NPI number?

The NPI number for Danille Cornwell is 1013672187. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Q: What is Danille Cornwell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Danille Cornwell was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Danille Raven Cornwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANILLE RAVEN CORNWELL (NPI 1013672187) is an individual peer specialist in Riverhead, New York and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1013672187

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameDANILLE RAVEN CORNWELL

Location Address400 W MAIN STRiverhead, NY 11901-2813

Mailing Address400 W Main StRiverhead, NY 11901-2813 · (631) 833-6581

Phone(631) 833-6581

Sole ProprietorYes

Enumeration DateNovember 3, 2021

NPPES CertifiedFebruary 5, 2021

✔ NPI 1013672187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

400 W MAIN ST, Riverhead, NY 11901

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ELIZABETH KOZAK C.R.P.A.

Peer Specialist