Dylan Cathryne Spake, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020203 Issued in NC

Practice address

4344 S NC Highway 150 Ste D
Lexington, NC 27295-5376

Phone

(704) 832-2200

NPI assigned

Mar 19, 2024

Sex

Female

Sole proprietor

No

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.

• Barium Springs

  • Community/Behavioral Health Agency
  • Lexington, NC
  • NPI 1093136335
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1043070170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 BARIUM SPRINGS DR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286778453",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 S NC HIGHWAY 150 STE D",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272955376",
            "telephone_number": "704-832-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAKE",
        "first_name": "DYLAN",
        "middle_name": "CATHRYNE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solfiniti Behavioral Health Services PLLC
• Sound Mind Ministries, LLC
• South Main Chiropractic of Lexington, PLLC
• Southern Assisted Living, LLC.
• Southmont Pharmacy Inc
• Steven James Spivey, M.D.
• SSC Lexington Operating Company LLC
• Janice King Stephens, CRNA
• Rheebe Stevenson, LPN
• Betty Stewart, LCSW-A

• All providers in Lexington, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.