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DANIEL ROBIN VAN DER MALLIE CDCA
NPI 1669972998
Counselor - Addiction (Substance Use Disorder) in Waverly, OH

Active since February 13, 2018
14574 US HIGHWAY 23, WAVERLY, OH 45690(740) 912-9126 Get Directions Write a Review

NPPES record last updated: February 13, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Robin Van Der Mallie Cdca NPPES

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

DANIEL ROBIN VAN DER MALLIE CDCA (NPI 1669972998) is an individual addiction (substance use disorder) provider in Waverly, Ohio, licensed in Ohio (CDCA.162705) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1669972998
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDANIEL ROBIN VAN DER MALLIECredential: CDCA
Location Address14574 US HIGHWAY 23Waverly, OH 45690-9373
Mailing Address1725 Charles StPortsmouth, OH 45662-4639 · (740) 947-6727
Phone(740) 912-9126
Sole ProprietorYes
Enumeration DateFebruary 13, 2018
✔ NPI 1669972998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA.162705
14574 US HIGHWAY 23, Waverly, OH 45690
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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.

DAVID WILLIAM LAVERICK JR. CDCA
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 912-9126
EVAN RAY BROWN I
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 912-9126
PAUL RICHARD COYLE CDCA
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 912-9126
JACOB WADE HOWARD CMS
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 708-2967
ANGELA RENEA CONLEY RN
Registered Nurse
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 835-9063
CHARLOTTE ANN KEPLINGER
Licensed Practical Nurse
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 600-1636
JASON RICHARD SHIREY CDCA
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 912-9126
JAMES TAYLOR DAWKINS
Counselor (Addiction (Substance Use Disorder))
14574 US HIGHWAY 23
WAVERLY, OH 45690
Pike County (740) 947-6727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Van Der Mallie's NPI number?

The NPI number for Daniel Van Der Mallie is 1669972998. It was assigned to this individual provider in the NPPES registry on February 13, 2018.

Where is Daniel Van Der Mallie located?

Daniel Van Der Mallie practices at 14574 Us Highway 23, Waverly, OH 45690. The listed phone number is (740) 912-9126.

What is Daniel Van Der Mallie's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Daniel Van Der Mallie was last updated on February 13, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.