Healthcare Provider Details

I. General information

NPI: 1235142811
Provider Name (Legal Business Name): KRISTI ANN DAANE LMSW ACSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1510 MORTON AVE
SAINT JOSEPH MI
49085-1524
US

IV. Provider business mailing address

PO BOX 10
MASON MI
48854-0010
US

V. Phone/Fax

Practice location:
  • Phone: 269-313-1887
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number6801070115
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: