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NPI Code Detail

MEDICARE: MS. DANIELLE MCCANN LMSW

MEDICARE: MS. DANIELLE MCCANN LMSW
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 Worker
21041C0700XClinical Social Worker6801094208MI

General Provider Information

NPI Number : 1548661960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DANIELLE MCCANN LMSW
Provider Business Mailing Address
First Line : 2734 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4413
Country : US
Telephone Number : 231-798-4445
Fax Number :
Provider Business Practice Location Address
First Line : 2734 E APPLE AVE
Second Line :
City : MUSKEGON
State : MI
Zip : 49442-4413
Country : US
Telephone Number : 231-798-4445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2014
Last Update Date : 03/10/2025

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