Provider Demographics
NPI:1831481290
Name:ALONZI, DANIEL FRANCIS (LMSW)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:FRANCIS
Last Name:ALONZI
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 1:116 W SUPERIOR ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-1650
Mailing Address - Country:US
Mailing Address - Phone:989-567-0554
Mailing Address - Fax:
Practice Address - Street 1:116 W SUPERIOR ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ALMA
Practice Address - State:MI
Practice Address - Zip Code:48801-1650
Practice Address - Country:US
Practice Address - Phone:989-576-0554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010588551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6801058855OtherLICENSE MASTER SOCIAL WORKER