Provider Demographics
NPI:1720419252
Name:DUMSCH, DANICA (LMSW)
Entity Type:Individual
Prefix:
First Name:DANICA
Middle Name:
Last Name:DUMSCH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 N 2ND AVE UNIT 678
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-6229
Mailing Address - Country:US
Mailing Address - Phone:989-340-1645
Mailing Address - Fax:989-354-5898
Practice Address - Street 1:112 W CHISHOLM ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2446
Practice Address - Country:US
Practice Address - Phone:989-340-1645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-10
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010910441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical