Provider Demographics
NPI:1902664238
Name:SEARE, DANIEL (LMSW)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:SEARE
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22480 DUFF LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:ID
Mailing Address - Zip Code:83644-6041
Mailing Address - Country:US
Mailing Address - Phone:208-965-4502
Mailing Address - Fax:208-505-4280
Practice Address - Street 1:22480 DUFF LN
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:ID
Practice Address - Zip Code:83644-6041
Practice Address - Country:US
Practice Address - Phone:208-965-4502
Practice Address - Fax:208-505-4280
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMS-44794104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker