Healthcare Provider Details

I. General information

NPI: 1649181652
Provider Name (Legal Business Name): DANIEL S HADDAD, LCSW, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7505 WATERS AVE STE C5
SAVANNAH GA
31406
US

IV. Provider business mailing address

PO BOX 14649
SAVANNAH GA
31416
US

V. Phone/Fax

Practice location:
  • Phone: 912-208-6560
  • Fax:
Mailing address:
  • Phone: 912-208-6560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL HADDAD
Title or Position: OWNER
Credential: LCSW, LISW
Phone: 912-208-6560