Active NPI
Kelley Marie McDaniel, BSW
- Case Management Agency
- Wayne, MI
National Provider Identifier
1225552185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 6802089366
- Practice address
- 38594 Laurenwood St
Wayne, MI 48184-2820 - Phone
- (734) 467-7600
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 6802089366 | MI | Primary |
Addresses
Primary practice location
38594 Laurenwood St
Wayne, MI 48184-2820
Mailing address
38594 Laurenwood St
Wayne, MI 48184-2820
Phone (734) 660-6674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802089366 | Medicaid | MI |
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 |
|---|---|---|---|
| 6802089366 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1225552185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38594 LAURENWOOD ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842820",
"telephone_number": "734-660-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38594 LAURENWOOD ST",
"city": "WAYNE",
"state": "MI",
"postal_code": "481842820",
"telephone_number": "734-467-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "KELLEY",
"middle_name": "MARIE",
"credential": "BSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "MI",
"license": "6802089366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6802089366",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wayne, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.