MEDICARE: DAILY SARAH JANE ANDREWS MSW, 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
1	1041C0700X	Clinical Social Worker	6801118449	MI
2	104100000X	Social Worker	2021041382	MO

General Provider Information

NPI Number	:	1689300535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAILY SARAH JANE ANDREWS MSW, LCSW

Provider Business Mailing Address
First Line	:	1767 HICKORY HILLS BLVD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-6426
Country	:	US
Telephone Number	:	217-264-1029
Fax Number	:

Provider Business Practice Location Address
First Line	:	1767 HICKORY HILLS BLVD
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48855-6426
Country	:	US
Telephone Number	:	217-264-1029
Fax Number	:

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

Provider Enumeration Date	:	07/25/2022
Last Update Date	:	10/16/2024

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