MEDICARE: SHELLY DANIEL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	004860	GA

General Provider Information

NPI Number	:	1053730200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHELLY DANIEL

Provider Business Mailing Address
First Line	:	668 GLENBARRETT CT NE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30066-8511
Country	:	US
Telephone Number	:	770-337-8921
Fax Number	:

Provider Business Practice Location Address
First Line	:	366 POWDER SPRINGS ST STE 204
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30064-3424
Country	:	US
Telephone Number	:	770-337-8921
Fax Number	:	410-569-0094

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	10/01/2024

Similar Medicare Providers

1184975203 — SONYA COY LPC
Practice Location Address:

366 POWDER SPRINGS ST , SUITE 218
MARIETTA, GA
30064-3424

Practice Phone: 678-374-9727
Practice Fax: 770-427-4228

1124440938 — JOANNA ORREGO
Practice Location Address:

366 POWDER SPRINGS ST , SUITE 212
MARIETTA, GA
30064-3424

Practice Phone: 786-282-0006
Practice Fax:

1235692625 — DOVE COUNSELING CENTER
Practice Location Address:

366 POWDER SPRINGS ST STE 218
MARIETTA, GA
30064-3424

Practice Phone: 678-374-9727
Practice Fax:

1316514193 — RNJ OASIS HOMECARE SERVICES LLC
Practice Location Address:

366 POWDER SPRINGS ST STE 212
MARIETTA, GA
30064-3424

Practice Phone: 678-539-3368
Practice Fax: 912-590-0586

1881824928 — TEDLA-KEBEDE CORP
Practice Location Address:

3424 OLD SUTTONS WAY
MARIETTA, GA
30062-4187

Practice Phone: 404-861-1411
Practice Fax:

1912862350 — FULFILLMENT CHIROPRACTIC, LLC
Practice Location Address:

3901 MARY ELIZA TRCE NW STE 201
MARIETTA, GA
30064-1096

Practice Phone: 215-694-4831
Practice Fax:

Directions to “ SHELLY DANIEL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.