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NPI Code Detail

MEDICARE: MR. DANIEL ROBERT CRAIGIE LCSW

MEDICARE: MR. DANIEL ROBERT CRAIGIE LCSW
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
11041C0700XClinical Social Worker102803NY
2104100000XSocial Worker112630-01NY

General Provider Information

NPI Number : 1538998141
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL ROBERT CRAIGIE LCSW
Provider Business Mailing Address
First Line : 89B RIVER RD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5713
Country : US
Telephone Number : 716-693-9961
Fax Number : 716-693-4402
Provider Business Practice Location Address
First Line : 89B RIVER RD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-5713
Country : US
Telephone Number : 716-693-9961
Fax Number : 716-693-4402
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2024
Last Update Date : 06/11/2026

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