Healthcare Provider Details

I. General information

NPI: 1730007519
Provider Name (Legal Business Name): DANIELLE MARIE STIVER LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12830 OLD US 27 STE B
DEWITT MI
48820
US

IV. Provider business mailing address

313 N CAPITOL AVE UNIT 302
LANSING MI
48933-1218
US

V. Phone/Fax

Practice location:
  • Phone: 517-684-2545
  • Fax:
Mailing address:
  • Phone: 616-617-1525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851117153
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: