Individual provider Active NPI

Kristen Daniels, LMSW

  • Clinical Social Worker
  • Ada, MI
National Provider Identifier
1902351869
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801114418 Issued in MI
Practice address
6749 Fulton St E
Ada, MI 49301-8101
Phone
(231) 676-4566
NPI assigned
Aug 22, 2016
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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 C015283 NC
Clinical Social Worker 1041C0700X 6801114418 MI Primary

Addresses

Primary practice location

6749 Fulton St E
Ada, MI 49301-8101

Mailing address

6749 Fulton St E
Ada, MI 49301-8101
Phone (231) 676-4566

Other practice location 1

2500 Packard St Ste 104A
Ann Arbor, MI 48104-6827
Phone (734) 707-1052

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221026001142 NC Practitioner - Clinical Social Worker 7012383458 Reassigns benefits to 1 organization
I20240312001067 MI Practitioner - Clinical Social Worker 7012383458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrative ServicesGroup PAC ID 5092081687, 7 clinicians

Practice addresses (Care Compare)

2500 Packard St
Suite 104a
Ann Arbor, MI 48104-6827
Phone (734) 707-1052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C015283NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Affirmed Counseling, PLLC Clinical CurrentSince Oct 14, 2022 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Integrative Services PLLC CurrentSince Jan 27, 2024 Accepting new patients
Sound Mind Psychotherapy PLLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

6749 Fulton St E
Ada, MI 49301
Phone (231) 676-4566

2500 Packard St
Ste 104A
Ann Arbor, MI 48104
Phone (734) 707-1052

2970 E Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 230-5695

2885 Sanford Ave SW
Grandville, MI 49418
Phone (425) 606-5304

323 Yadkin St
Albemarle, NC 28001
Phone (704) 550-5781

Interoperability endpoints

  • Direct secure messaging: kristendaniels@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1902351869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6749 FULTON ST E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018101",
            "telephone_number": "231-676-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6749 FULTON ST E",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018101",
            "telephone_number": "231-676-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Packard St Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481046827",
            "country_code": "US",
            "telephone_number": "734-707-1052",
            "fax_number": "734-661-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "KRISTEN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015283",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801114418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

Verify at the official NPI Registry.