MEDICARE: DANIEL JOSEPH GROGAN 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
1	104100000X	Social Worker	6801079379	MI

General Provider Information

NPI Number	:	1851499776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JOSEPH GROGAN LMSW

Provider Business Mailing Address
First Line	:	43329 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	248-277-5353
Fax Number	:

Provider Business Practice Location Address
First Line	:	43329 SCHOENHERR RD
Second Line	:
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48313-1959
Country	:	US
Telephone Number	:	248-277-5353
Fax Number	:

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

Provider Enumeration Date	:	09/21/2006
Last Update Date	:	06/03/2026

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