Provider Demographics
NPI:1194006221
Name:DANIELS, RAYMOND CRAIG (LMSW)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:CRAIG
Last Name:DANIELS
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 1:14278 HUBBELL ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4328
Mailing Address - Country:US
Mailing Address - Phone:734-425-9355
Mailing Address - Fax:734-425-9355
Practice Address - Street 1:14278 HUBBELL ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-4328
Practice Address - Country:US
Practice Address - Phone:734-425-9355
Practice Address - Fax:734-425-9355
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2011-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI26245391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical