Provider Demographics
NPI:1861657827
Name:LAUKAITIS, DANIEL EDWARD (MSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:EDWARD
Last Name:LAUKAITIS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14424 CARIBBEAN BREEZE DR
Mailing Address - Street 2:UNIT 203
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-5467
Mailing Address - Country:US
Mailing Address - Phone:813-784-6889
Mailing Address - Fax:
Practice Address - Street 1:14424 CARIBBEAN BREEZE DR
Practice Address - Street 2:UNIT 203
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-5467
Practice Address - Country:US
Practice Address - Phone:813-784-6889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 95231041C0700X
MA# 1153411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical