Healthcare Provider Details

I. General information

NPI: 1992262190
Provider Name (Legal Business Name): DANA MARIE PAGLIA-KING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA PAGLIA

II. Dates (important events)

Enumeration Date: 02/23/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31312 ARROWHEAD ST
SAINT CLAIR SHORES MI
48082-1280
US

IV. Provider business mailing address

31312 ARROWHEAD ST
SAINT CLAIR SHORES MI
48082-1280
US

V. Phone/Fax

Practice location:
  • Phone: 313-450-2980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851118734
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: