1. Home
  2. Directory
  3. Wisconsin
  4. Wauwatosa
  5. Counselor
  6. NPI Profile

DANNIE STALLWORTH LPC-IT
NPI 1710714712
Counselor - Mental Health in Wauwatosa, WI

Active since September 16, 2024
4025 N 92ND ST, WAUWATOSA, WI 53222(414) 435-1115 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dannie Stallworth Lpc-it NPPES

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

DANNIE STALLWORTH LPC-IT (NPI 1710714712) is an individual mental health provider in Wauwatosa, Wisconsin, licensed in Wisconsin (8079) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1710714712
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDANNIE STALLWORTHCredential: LPC-IT
Location Address4025 N 92ND STWauwatosa, WI 53222-1613
Mailing Address4025 N 92nd StWauwatosa, WI 53222-1613 · (414) 435-1115
Phone(414) 435-1115
Sole ProprietorNo
Enumeration DateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1710714712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 8079
4025 N 92ND ST, Wauwatosa, WI 53222
Open in Google Maps ↗

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.

CRAIG R COOK MD
Anesthesiology
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 358-5431
ANNA JANULEWICZ AA
Anesthesiologist Assistant
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 358-5431
AFTON BARTOL LPC-IT
Counselor (Mental Health)
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 435-1115
DR. RICHARD JOSEPH DEKLOTZ M.D.
Anesthesiology
4025 N 92ND ST
MILWAUKEE, WI 53222
Milwaukee County (414) 358-5431
MR. TIMOTHY KLUSMAN A.A.
Anesthesiologist Assistant
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 358-5431
JOLANTA PENTALA MD
Internal Medicine
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 358-5420
MICHELLE M. ECHOLS LPC
Counselor (Professional)
4025 N 92ND ST
WAUWATOSA, WI 53222
Milwaukee County (414) 871-6122
KHALIO BORUM MS, LPC-IT
Counselor (Mental Health)
4025 N 92ND ST
MILWAUKEE, WI 53222
Milwaukee County (414) 435-0333

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 Dannie Stallworth's NPI number?

The NPI number for Dannie Stallworth is 1710714712. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Dannie Stallworth located?

Dannie Stallworth practices at 4025 N 92nd St, Wauwatosa, WI 53222. The listed phone number is (414) 435-1115.

What is Dannie Stallworth's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Dannie Stallworth was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.