Active NPI
Daniel George Waites, LLMSW
- School Social Worker
- Lansing, MI
National Provider Identifier
1255115713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 6851116194
- Practice address
- 430 N Larch St
Lansing, MI 48912-1266 - Phone
- (423) 329-9366
- NPI assigned
- Aug 24, 2023
- Last updated
- Aug 24, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 6851116194 | MI | Primary |
Addresses
Primary practice location
430 N Larch St
Lansing, MI 48912-1266
Mailing address
7733 Maple LN
Owosso, MI 48867-9209
Phone (423) 329-9366
Other practice location 1
7733 Maple Ln
Owosso, MI 48867-9209
Phone (423) 329-9366
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 |
|---|---|---|---|
| 6851116194 | MI | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1255115713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 MAPLE LN",
"city": "OWOSSO",
"state": "MI",
"postal_code": "488679209",
"telephone_number": "423-329-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N LARCH ST",
"city": "LANSING",
"state": "MI",
"postal_code": "489121266",
"telephone_number": "423-329-9366"
}
],
"practiceLocations": [
{
"address_1": "7733 Maple Ln",
"address_purpose": "LOCATION",
"city": "Owosso",
"state": "MI",
"postal_code": "488679209",
"country_code": "US",
"telephone_number": "423-329-9366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAITES",
"first_name": "DANIEL",
"middle_name": "GEORGE",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "MI",
"license": "6851116194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.