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

Mr. Daniel Thomas Bukacel Jr.

Individual provider Social Worker · NPI 1043895121

Mr. Daniel Thomas Bukacel Jr. is a Mental Health Counselor in Clinton Twp, Michigan. Qualified in 2022, 4 years ago. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

16645 15 Mile Rd
Clinton Twp, MI 48035-2206
Phone: (586) 213-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6451022246 (MI)
Social Worker Taxonomy 104100000X

Record details

NPI number1043895121
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 10, 2021
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Clinton Twp