Active NPI
John Frederick Daley, LMSW-CLINICAL
- Social Worker
- Rochester Hills, MI
National Provider Identifier
1457924904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801089897
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801089897 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard Kneip, PH.D., P.C. | Current | 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.
-
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.