Provider Demographics
NPI:1467201467
Name:BARRY, DANIELLE L (LMSW)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:L
Last Name:BARRY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36031 CONGRESS CT
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1219
Mailing Address - Country:US
Mailing Address - Phone:248-894-0677
Mailing Address - Fax:
Practice Address - Street 1:36031 CONGRESS CT
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48335-1219
Practice Address - Country:US
Practice Address - Phone:248-894-0677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010972741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical