Provider Demographics
NPI:1255303715
Name:MEIER, DANI (PHD, ACSW, LMSW)
Entity Type:Individual
Prefix:DR
First Name:DANI
Middle Name:
Last Name:MEIER
Suffix:
Gender:M
Credentials:PHD, ACSW, LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 BEVERLY PARK PL
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49203-3976
Mailing Address - Country:US
Mailing Address - Phone:517-841-3725
Mailing Address - Fax:
Practice Address - Street 1:3343 SPRING ARBOR RD
Practice Address - Street 2:SUITE 300
Practice Address - City:JACKSON
Practice Address - State:MI
Practice Address - Zip Code:49203-3635
Practice Address - Country:US
Practice Address - Phone:517-841-3725
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010688961041C0700X, 1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOP 18090Medicare ID - Type UnspecifiedMEDICARE PART B #