Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dan Siegel Fogel, LMSW

Individual provider Social Worker · NPI 1619063898

Dan Siegel Fogel, LMSW is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 1980, 46 years ago. Practices with Claystone Clinical Associates PLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
46
Licensed in
MI
In the registry since
2006
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

75 Sheldon Blvd SE Ste 100 & 101
Grand Rapids, MI 49503-4224
Phone: (616) 391-2420
Fax: (616) 391-4425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801057400 (MI)

Record details

NPI number1619063898
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESDecember 19, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Claystone Clinical Associates Plc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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