Active NPI
Tyana McDaniel, LLMSW
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1669939492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801097296
- Practice address
- 6140 Hallmark CT
Saginaw, MI 48603-4860 - Phone
- (989) 790-3366
- NPI assigned
- Feb 28, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MI | ||
| Clinical Social Worker | 1041C0700X | 6801097296 | MI | Primary |
Addresses
Primary practice location
6140 Hallmark CT
Saginaw, MI 48603-4860
Mailing address
11666 Plaza Dr Apt 12
Clio, MI 48420-1745
Other practice location 1
6840 Midland Rd
Freeland, MI 48623-8708
Phone (989) 692-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801097296 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1669939492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11666 PLAZA DR APT 12",
"city": "CLIO",
"state": "MI",
"postal_code": "484201745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 HALLMARK CT",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486034860",
"telephone_number": "989-790-3366"
}
],
"practiceLocations": [
{
"address_1": "6840 Midland Rd",
"address_purpose": "LOCATION",
"city": "Freeland",
"state": "MI",
"postal_code": "486238708",
"country_code": "US",
"telephone_number": "989-692-2160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDANIEL",
"first_name": "TYANA",
"credential": "LLMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801097296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.