Active NPI
Andrew M Dailing, LLMSW, CCS
- Clinical Social Worker
- Southgate, MI
National Provider Identifier
1063201267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1 Heritage Dr
Southgate, MI 48195-3094 - Phone
- (734) 778-0663
- NPI assigned
- May 5, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6851121655 | MI | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1 Heritage Dr
Southgate, MI 48195-3094
Mailing address
2871 West Rd
Trenton, MI 48183-2476
Phone (734) 346-6430
Other practice location 1
2871 West Rd
Trenton, MI 48183-2476
Phone (734) 346-6430
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150.129830 | Other | IL | STATE OF ILLINOIS |
| 16768586 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851121655 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1063201267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2871 WEST RD",
"city": "TRENTON",
"state": "MI",
"postal_code": "481832476",
"telephone_number": "734-346-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HERITAGE DR",
"city": "SOUTHGATE",
"state": "MI",
"postal_code": "481953094",
"telephone_number": "734-778-0663"
}
],
"practiceLocations": [
{
"address_1": "2871 West Rd",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "MI",
"postal_code": "481832476",
"country_code": "US",
"telephone_number": "734-346-6430",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAILING",
"first_name": "ANDREW",
"middle_name": "M",
"credential": "LLMSW, CCS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-05",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6851121655",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF ILLINOIS",
"identifier": "150.129830",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16768586",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Southgate, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.