| Doctor Name: | DR. RICHARD OTIS DANIEL |
| NPI Number: | 1174665715 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW |
| License Number: | 05333 |
| Business Practice Address: | 982 Crystal Rock Rd Lusby, MD - 206573711 |
| Business Phone Number: | 3015349958 |
| Business Fax Number: | 1866534411 |
| Mailing Address: | 982 Crystal Rock Road, LUSBY |
| State: | MD |
| Postal Code: | 206573711 |
| Phone Number: | 3015349958 |
| Fax Number: | 2407660571 |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 12/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 05333 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |