Daniel Church

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801107141 Issued in MI

Practice address

3300 Washtenaw Ave Ste 260
Ann Arbor, MI 48104-5184

Phone

(734) 489-9759

NPI assigned

May 28, 2021

Last updated

May 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1114593217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-489-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WASHTENAW AVE STE 260",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045184",
            "telephone_number": "734-489-9759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801107141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dee@connallycounseling.com",
            "affiliation": "N",
            "endpointDescription": "Professional email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3300 Washtenaw Ave Ste 260",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481045184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dana Hejung Chung
• David Haesung Chung
• James Maven Chung, MD
• Kevin CHI Chung, MD
• Ray-Yuan Chung, RD
• Joseph Thomas Church, M.D.
• Pati Putt Church, CUNP
• Kaissa Lynn-Moon Cianfarani
• Juan Sebastian Cifuentes Munoz, MD
• Abigail Marie Cimini, PT, DPT

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.