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

Mr. Daniel Jay Petersen, LMSW

Individual provider Social Worker · NPI 1740458538

Mr. Daniel Jay Petersen, LMSW is a Clinical Social Worker in Southgate, Michigan. Qualified in 1998, 28 years ago. Practices with Downriver Mental Health Clinic PC, a 288-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
28
Licensed in
MI
In the registry since
2008
Specialties on file
2
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

13101 Allen Rd
Southgate, MI 48195-2216
Phone: (734) 785-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801082846 (MI)
Social Worker Taxonomy 104100000X · Licence 6801082846 (MI)

Record details

NPI number1740458538
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedFebruary 14, 2008
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026
Mailing address36921 Jefferson Ct Apt 758, Farmington Hills, MI 48335-1979

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Downriver Mental Health Clinic Pc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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