Paula M Dedionisio, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085200-1 Issued in NY

Practice address

1202 State St
Erie, PA 16501-1914

Phone

(814) 454-4530

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Paula Byrd Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Parkside Psychological Associates

  • Mental Health Counselor
  • Meadville, PA
  • NPI 1205081221

  Clinical

  NPD

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1104835107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8760 CLARK ROAD EXT.",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16510",
            "telephone_number": "814-866-4506",
            "fax_number": "814-866-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 STATE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011914",
            "telephone_number": "814-454-4530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 LAKESHORE DRIVE",
            "address_purpose": "LOCATION",
            "city": "DUNKIRK",
            "state": "NY",
            "postal_code": "14048",
            "country_code": "US",
            "telephone_number": "716-366-7660",
            "fax_number": "716-366-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEDIONISIO",
        "first_name": "PAULA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015316",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085200-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "BYRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jody James Decastro, PA-C
• Makayla Decker
• Richard Lawrence Decker, MD
• Christine Helen Decrease, RN
• Deborah K Dedionisio, RPH
• Regan Lynne Dedionisio, MT-BC
• Danielle Deegan, DO
• Ivy Elizabeth Deegan, CRNP
• Deerfield Behavioral Health, Inc.
• Andrea Lynne Defelice, RN, BSN

• Clinical Social Worker in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.