Immacolata Dreyer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R0438651 Issued in NY

Practice address

531 Center Rd
West Seneca, NY 14224-2129

Phone

(716) 430-0703

Fax

(716) 720-9352

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sheridan Drive Medical Group LLPGroup PAC ID 8820900376, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.medent.com/fhir/R4/3P171181

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheridan Drive Medical Group LLP

  • Internal Medicine Physician
  • Tonawanda, NY
  • NPI 1679684625
  Medicare reassignment Care Compare group NPD
• Wellworth Health, Inc.

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1568224970
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003989096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 KEEVER AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142183525",
            "telephone_number": "716-822-1900",
            "fax_number": "716-720-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CENTER RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242129",
            "telephone_number": "716-430-0703",
            "fax_number": "716-720-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DREYER",
        "first_name": "IMMACOLATA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0438651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00438651",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000525099002",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr Andrew Green Dr Rita Sloan and Dr Roland Honeine LLP
• Dr. Harpreet Dhiman, D.O., PLLC
• Dr.Mark S. St.Marie Physician PLLC
• Nicholas James Dragonette II, DDS
• Linda Dressler
• Paula Drilling Hunt, NP
• Anne M Drobits, OTRL
• Charlene Dawn Drogi, BSN RN
• Jeanna Marie Duarte-Schwartz
• Kara Maria Dudek, M.ED, BCBA

• Clinical Social Worker in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.