Larry Patrick Dahlka, MA LMSW LLP CAAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C-00116 Issued in MI

Practice address

26184 Outer Dr
Lincoln Park, MI 48146-2084

Phone

(313) 389-7563

Fax

(313) 389-7510

NPI assigned

Feb 1, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649318940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3966 GERTRUDE ST",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481252814",
            "telephone_number": "313-565-3273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26184 OUTER DR",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462084",
            "telephone_number": "313-389-7563",
            "fax_number": "313-389-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLKA",
        "first_name": "LARRY",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MA LMSW LLP CAAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00116",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "1811089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "1757155",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care Services
• Community Senior Home Care LLC
• Cari Anne Crawford, LMSW
• Tunezha Crowder
• Simone Cruzet-McCullom, LMSW
• Hanan Dakik
• Hassan Dakroub
• Biola Dampella, DNP, FNP-BC
• Richard John Daniels, PTA
• Laura Davenport, LBSW

• Addiction (Substance Use Disorder) Counselor in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.