Healthcare Provider Details

I. General information

NPI: 1699661553
Provider Name (Legal Business Name): SARAH MCDANIELS LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1345 MONROE AVE NW STE 323
GRAND RAPIDS MI
49505-4674
US

IV. Provider business mailing address

1200 WAVERLY AVE
GRAND HAVEN MI
49417-2253
US

V. Phone/Fax

Practice location:
  • Phone: 616-284-1329
  • Fax:
Mailing address:
  • Phone: 616-304-5880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851119969
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: