Healthcare Provider Details

I. General information

NPI: 1619085685
Provider Name (Legal Business Name): DAISY BARLOW-SMITH MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DAISY LOU BARLOW-SMITH MSW, LMSW

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3303 WOODSTOCK DR
DETROIT MI
48221-1339
US

IV. Provider business mailing address

3303 WOODSTOCK DR
DETROIT MI
48221-1339
US

V. Phone/Fax

Practice location:
  • Phone: 313-737-1887
  • Fax: 313-846-0236
Mailing address:
  • Phone: 313-737-1887
  • Fax: 313-846-0236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801001392
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801001392
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: