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NPI Code Detail

MEDICARE: MICHELLE DANIEL LSCSW

MEDICARE:   MICHELLE  DANIEL  LSCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker07022KS

General Provider Information

NPI Number : 1073226874
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE DANIEL LSCSW
Provider Business Mailing Address
First Line : 1905 19TH ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-2502
Country : US
Telephone Number : 620-792-5700
Fax Number : 620-792-5742
Provider Business Practice Location Address
First Line : 1905 19TH ST
Second Line :
City : GREAT BEND
State : KS
Zip : 67530-2502
Country : US
Telephone Number : 620-792-5700
Fax Number : 620-792-5742
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2022
Last Update Date : 02/17/2026

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Directions to “ MICHELLE DANIEL LSCSW” Practice Location

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