Individual provider Active NPI

Daniel Herd, MSW, LMSW

  • Clinical Social Worker
  • Traverse City, MI
National Provider Identifier
1043607278
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801097859 Issued in MI
Practice address
800 Cottageview Dr
Suite 1074
Traverse City, MI 49684-2616
Phone
(231) 492-0808
Fax
(231) 492-0808
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801097859 MI Primary

Addresses

Primary practice location

800 Cottageview Dr
Suite 1074
Traverse City, MI 49684-2616

Mailing address

800 Cottageview Dr
Suite 1074
Traverse City, MI 49684-2616
Phone (231) 492-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011002838 MI Practitioner - Clinical Social Worker 9830487651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

800 Cottageview Dr
Suite 1074
Traverse City, MI 49684-2490
Phone (231) 492-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sentience Integrated Wellness PLLC Clinical CurrentSince May 15, 2015 Accepting new patients

Locations

800 Cottageview Dr
Ste 1074
Traverse City, MI 49684
Phone (231) 492-0808

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1043607278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR",
            "address_2": "SUITE 1074",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842616",
            "telephone_number": "231-492-0808",
            "fax_number": "231-492-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COTTAGEVIEW DR",
            "address_2": "SUITE 1074",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842616",
            "telephone_number": "231-492-0808",
            "fax_number": "231-492-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERD",
        "first_name": "DANIEL",
        "credential": "MSW, LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801097859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.