Individual
KEVIN PETERSON DANIELS
Active
Individual
KEVIN PETERSON DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0012323
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD-0010162
LCDP
DE
01
—
Q1-0012323
LICENSED CLINICAL SOCIAL WORKER
DE
01
—
Q3-0011163
LICENSED MASTER SOCIAL WORKER
DE
Enumeration date
08/19/2022
Last updated
07/24/2026
Update your record
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