Heather Dazell, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00008611 Issued in WA

Practice address

104 S. Freya, White Flag BLDG, Ste 221
Spokane, WA 99202

Phone

(509) 279-2407

Fax

(509) 279-2506

NPI assigned

Jun 9, 2006

Last updated

Jul 16, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Heather Dazell, MSW, Licsw

  • Counselor
  • Spokane, WA
  • NPI 1093180382
  NPD (past)
• Kristi Ketz, PH.D., P.S.

  • Psychologist
  • Spokane, WA
  • NPI 1316952161
  NPD (past)
• Northwest Neurobehavioral Institute

  • Clinical Neuropsychologist
  • Spokane, WA
  • NPI 1427115765
  NPD (past)
• Optic One Eye Care Centers of Spokane PC

  dba Optic One Eye Care

  • Optometrist
  • Spokane, WA
  • NPI 1801948013
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1346281730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S. FREYA, WHITE FLAG BLDG, STE 221",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-279-2407",
            "fax_number": "509-279-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S. FREYA, WHITE FLAG BLDG, STE 221",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-279-2407",
            "fax_number": "509-279-2506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAZELL",
        "first_name": "HEATHER",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Day
• Nicole Marie Day, ARNP
• Steven E. Day, M.D.
• Timothy Joseph Day, DC
• Daybreak Youth Services
• James Alfonso De Barros, R.N.,B.S.
• Bradley L. De Counter, D.D.S. MS, LLC
• Joanne De Howitt
• Edwin Andre De Kock, MD
• Anna Lee De la Cruz

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.