Individual provider Active NPI

Kelly Marie Danielson, M.S.W.

  • Clinical Social Worker
  • Shelby TWP, MI
National Provider Identifier
1508192865
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091262 Issued in MI
Practice address
48585 Hayes Rd
Shelby TWP, MI 48315-4402
Phone
(586) 884-4714
Fax
(586) 884-4693
NPI assigned
Oct 21, 2009
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091262 MI Primary

Addresses

Primary practice location

48585 Hayes Rd
Shelby TWP, MI 48315-4402

Mailing address

48585 Hayes Rd.
Crossing Paths
Shelby TWP, MI 48315
Phone (586) 884-4714

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
I20141224000319 MI Practitioner - Clinical Social Worker 2668795667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Giesken Counseling Services LLCGroup PAC ID 5799035390, 10 clinicians

Practice addresses (Care Compare)

8949 Dixie Hwy
Clarkston, MI 48348-4246
Phone (810) 626-5191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091262MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Crossing Paths, P.C. CurrentSince Apr 28, 2017 Accepting new patients
Giesken Counseling Services LLC CurrentSince Mar 30, 2025 Accepting new patients

Locations

8949 Dixie Hwy
Clarkston, MI 48348
Phone (810) 626-5191

48585 Hayes Rd
Shelby Township, MI 48315
Phone (586) 558-6868

50258 Van Dyke Ave
Ste A
Shelby Township, MI 48317
Phone (586) 731-7730

Organizations & group practices 2

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": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1508192865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48585 HAYES RD.",
            "address_2": "CROSSING PATHS",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "48315",
            "telephone_number": "586-884-4714",
            "fax_number": "586-884-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48585 HAYES RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154402",
            "telephone_number": "586-884-4714",
            "fax_number": "586-884-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELSON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.