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DAVID MCDANIEL LSW
NPI 1669036489
Social Worker - Clinical in Champaign, IL

Active since April 26, 2019Opted out of Medicare · through Jun 15, 2028
505 W UNIVERSITY AVE STE 225, CHAMPAIGN, IL 61820(217) 390-2247(309) 839-4465 Get Directions Write a Review

NPPES record last updated: March 18, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2026, Jan 28, 2026, Jan 7, 2026 and 2 more (5 updates tracked since 2019).

About David Mcdaniel Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID MCDANIEL LSW (NPI 1669036489) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149.024629) and active in the NPI registry since April 2019. He has opted out of Medicare through June 15, 2028.

NPPES Registry Identity

NPI1669036489
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDAVID MCDANIELCredential: LSW
Location Address505 W UNIVERSITY AVE STE 225Champaign, IL 61820-3915
Mailing Address505 W University Ave Ste 225Champaign, IL 61820-3915 · (217) 390-2247 · Fax (309) 839-4465
Phone(217) 390-2247
Fax(309) 839-4465
Sole ProprietorYes
Enumeration DateApril 26, 2019
Last NPPES UpdateMarch 18, 20265 updates tracked since enumeration
NPPES CertifiedMarch 18, 2026
✔ NPI 1669036489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.024629
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
505 W UNIVERSITY AVE STE 225, Champaign, IL 61820
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

David Mcdaniel Lsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 15, 2022 through June 15, 2028.

Opt-Out Effective DateJune 15, 2022
Opt-Out In Effect ThroughJune 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Mcdaniel's NPI number?

The NPI number for David Mcdaniel is 1669036489. It was assigned to this individual provider in the NPPES registry on April 26, 2019.

Where is David Mcdaniel located?

David Mcdaniel practices at 505 W University Ave Ste 225, Champaign, IL 61820. The listed phone number is (217) 390-2247.

What is David Mcdaniel's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is David Mcdaniel enrolled in Medicare?

No. David Mcdaniel has opted out of Medicare through June 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for David Mcdaniel was last updated on March 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.