Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYSON DANIELS, LCSW
Active Sole ProprietorTYSON DANIELS, LCSW is a Clinical Social Worker healthcare provider located in MALAD CITY, Idaho. NPI 1487189163 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MALAD CITY, ID
Registration Details
- NPI Number
- 1487189163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2017 (9.3325823419004 yrs)
- Last Updated
- May 1, 2017
- License
-
LCSW-36618 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 N 200 WMALAD CITY, ID, 832521239Browse ID providers · Browse ZIP 83252
- Phone
- 2087662231
- Fax
- 2087664819
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.