Individual provider Active NPI

John Frederick Daley, LMSW-CLINICAL

  • Social Worker
  • Rochester Hills, MI
National Provider Identifier
1457924904
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801089897 Issued in MI
Practice address
441 S Livernois Rd Ste 190
Rochester Hills, MI 48307-2591
Phone
(248) 650-3200
NPI assigned
Jul 22, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801089897 MI
Social Worker 104100000X 6801089897 MI Primary

Addresses

Primary practice location

441 S Livernois Rd Ste 190
Rochester Hills, MI 48307-2591

Mailing address

14519 Rice Dr
Sterling Heights, MI 48313-2936
Phone (586) 243-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231226000978 MI Practitioner - Clinical Social Worker 8224488739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089897MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Dec 5, 2023 Accepting new patients

Locations

13001 23 Mile Rd
Ste 103
Shelby Township, MI 48315
Phone (248) 602-2593

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1457924904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14519 RICE DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132936",
            "telephone_number": "586-243-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 S LIVERNOIS RD STE 190",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483072591",
            "telephone_number": "248-650-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "JOHN",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "LMSW-CLINICAL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089897",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.