Healthcare Provider Details

I. General information

NPI: 1003171315
Provider Name (Legal Business Name): DANIELLE S. LIED LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2012
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10751 S SAGINAW ST STE D
GRAND BLANC MI
48439-8169
US

IV. Provider business mailing address

9227 SEYMOUR RD
SWARTZ CREEK MI
48473-9161
US

V. Phone/Fax

Practice location:
  • Phone: 810-777-2000
  • Fax: 810-777-2000
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801094599
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801094599
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: