Individual provider Active NPI

Sue Ann Daniel, LMSW, ACSW

  • Social Worker
  • Brighton, MI
National Provider Identifier
1316414477
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801080020 Issued in MI
Practice address
8273 Grand River Rd Ste 110
Brighton, MI 48114-9346
Phone
(517) 977-7811
NPI assigned
Oct 26, 2018
Last updated
Oct 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801080020 MI Primary

Addresses

Primary practice location

8273 Grand River Rd Ste 110
Brighton, MI 48114-9346

Mailing address

8273 Grand River Rd Ste 110
Brighton, MI 48114-9346
Phone (517) 977-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20241004002862 NV Practitioner - Clinical Social Worker 8426589102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Diana Wright Psy D LLCGroup PAC ID 7113263971, 18 clinicians

Practice addresses (Care Compare)

4600 Kietzke LN
Suite N250
Reno, NV 89502-5000
Phone (775) 507-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801080020MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC CurrentSince Aug 29, 2024 Accepting new patients

Locations

4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 507-7222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1316414477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8273 GRAND RIVER RD STE 110",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149346",
            "telephone_number": "517-977-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8273 GRAND RIVER RD STE 110",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149346",
            "telephone_number": "517-977-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "SUE",
        "middle_name": "ANN",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801080020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MI

Sources for this page

Verify at the official NPI Registry.