Healthcare Provider Details

I. General information

NPI: 1992258594
Provider Name (Legal Business Name): DANIELLE ASHA HORN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DANIELLE THOMAS

II. Dates (important events)

Enumeration Date: 07/31/2016
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1690 WATERTOWER PL STE 100
EAST LANSING MI
48823-8045
US

IV. Provider business mailing address

1690 WATERTOWER PL STE 100
EAST LANSING MI
48823-8045
US

V. Phone/Fax

Practice location:
  • Phone: 313-433-6520
  • Fax:
Mailing address:
  • Phone: 586-943-3823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801117526
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: