NPI 1033239728

Bruce B Dannenberger, LCSW

Practitioner Clinical Social Worker Ottawa, IL

Practice location

Address: 110 E Main St Suite 309, Ottawa, IL 61350-2900
Phone: (815) 434-2118
Fax: (815) 434-5253
Mailing address: 401 W Moore St Suite 309, Ottawa, IL 61350-3855

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 149004294 (IL)

Other Social Worker providers in Illinois →

Registry record

NPI: 1033239728
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2007
Record last updated: 9 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.