Provider Demographics
NPI:1144581745
Name:OMANS, DANIEL ANTHONY (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:ANTHONY
Last Name:OMANS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 W MAPLEHURST ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2716
Mailing Address - Country:US
Mailing Address - Phone:248-506-8100
Mailing Address - Fax:
Practice Address - Street 1:1639 E BIG BEAVER RD STE 201
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2054
Practice Address - Country:US
Practice Address - Phone:248-528-9005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010941001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical