Provider Demographics
NPI:1336822238
Name:DANIELS, ALANNAH MICHAEL (LMSW, MSW, RSW, BSW)
Entity type:Individual
Prefix:MRS
First Name:ALANNAH
Middle Name:MICHAEL
Last Name:DANIELS
Suffix:
Gender:
Credentials:LMSW, MSW, RSW, BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 SWEETBAY DR
Mailing Address - Street 2:
Mailing Address - City:QUITMAN
Mailing Address - State:LA
Mailing Address - Zip Code:71268-4634
Mailing Address - Country:US
Mailing Address - Phone:318-533-9514
Mailing Address - Fax:
Practice Address - Street 1:375 SWEETBAY DR
Practice Address - Street 2:
Practice Address - City:QUITMAN
Practice Address - State:LA
Practice Address - Zip Code:71268-4634
Practice Address - Country:US
Practice Address - Phone:318-533-9514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
LA17875104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA3027105Medicaid
LA16471249OtherCAQH