Individual provider Active NPI

Dayo Phoenix

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1104109354
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P005706 Issued in NC
Practice address
3117 Darden Rd
Unit K
Greensboro, NC 27407-6758
Phone
(336) 772-4390
NPI assigned
Sep 23, 2011
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P005706 NC Primary

Addresses

Primary practice location

3117 Darden Rd
Unit K
Greensboro, NC 27407-6758

Mailing address

703 Dunbar St
Greensboro, NC 27401-3677

Other practice location 1

4154 Mendenhall Oaks Pkwy Ste 103
High Point, NC 27265-8426
Phone (336) 905-8011

Other practice location 2

1981 Eastchester Drive
High Point, NC 27265
Phone (336) 905-8011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180406000586 NC Practitioner - Clinical Social Worker 1254694185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PCGroup PAC ID 7810282191, 154 clinicians
Mindful InnovationsGroup PAC ID 0547650475, 5 clinicians

Practice addresses (Care Compare)

2850 S Main St
Suite 104
High Point, NC 27263-1900
Phone (336) 200-7003

4154 Mendenhall Oaks Pkwy
Suite 103
High Point, NC 27265-8034
Phone (336) 847-1626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P005706NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-Mi Physicians Group PC Clinical CurrentSince Dec 10, 2021 Accepting new patients
Mindful Innovations CurrentSince Nov 1, 2025 Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Dec 10, 2021 Accepting new patients
Mindful Therapeutic Community Support Program Past Accepting new patients

Locations

3250 Freedom Dr
Charlotte, NC 28208
Phone (704) 394-0118

2850 S Main St
Ste 104
High Point, NC 27263
Phone (336) 200-7003

4154 Mendenhall Oaks Pkwy
Ste 103
High Point, NC 27265
Phone (336) 847-1626

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1104109354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 DUNBAR ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3117 DARDEN RD",
            "address_2": "UNIT K",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076758",
            "telephone_number": "336-772-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4154 Mendenhall Oaks Pkwy Ste 103",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658426",
            "country_code": "US",
            "telephone_number": "336-905-8011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1981 Eastchester Drive",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "27265",
            "country_code": "US",
            "telephone_number": "336-905-8011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "DAYO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P005706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.