MEDICARE: MS. DORIS M. DANIELS L.M.S.W.

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	6801035887	MI
2	104100000X	Social Worker	6801035887	MI

General Provider Information

NPI Number	:	1538361779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DORIS M. DANIELS L.M.S.W.

Provider Business Mailing Address
First Line	:	2009 E SPINNINGWHEEL LN
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48304-1064
Country	:	US
Telephone Number	:	248-884-0589
Fax Number	:

Provider Business Practice Location Address
First Line	:	7457 FRANKLIN RD STE 303
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3608
Country	:	US
Telephone Number	:	248-626-0636
Fax Number	:

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

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	02/19/2024

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