Individual provider Active NPI

Dacey Michelle Spinuzzi, LISW

  • Clinical Social Worker
  • Vandalia, OH
National Provider Identifier
1023650678
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.2105870 Issued in OH
Practice address
59 N Dixie Dr Ste C
Vandalia, OH 45377-2067
Phone
(937) 314-1659
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1901041-TRNE OH
Clinical Social Worker 1041C0700X S.2105870 OH Primary

Addresses

Primary practice location

59 N Dixie Dr Ste C
Vandalia, OH 45377-2067

Mailing address

59 N Dixie Dr Ste C
Vandalia, OH 45377-2067
Phone (937) 314-1659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20250228002932 OH Practitioner - Clinical Social Worker 2466973854 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1901041-TRNEOHMDSocial Worker
S.2105870OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wilas LLC Clinical CurrentSince Jul 22, 2025 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jan 17, 2025 Accepting new patients
Ray of Light Counseling LLC CurrentSince Aug 6, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

405 Public Sq
Ste 350
Troy, OH 45373
Phone (352) 258-3611

59 N Dixie Dr
Ste C
Vandalia, OH 45377
Phone (937) 314-1659

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1023650678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 N DIXIE DR STE C",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772067",
            "telephone_number": "937-314-1659",
            "fax_number": "937-339-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 N DIXIE DR STE C",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453772067",
            "telephone_number": "937-314-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPINUZZI",
        "first_name": "DACEY",
        "middle_name": "MICHELLE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1901041-TRNE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2105870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.