Individual provider Active NPI

Pamela Rae Dailey, LCSW

  • Clinical Social Worker
  • Meadville, PA
National Provider Identifier
1346779311
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021474 Issued in PA
Practice address
18201 Conneaut Lake Rd
Meadville, PA 16335-3757
Phone
(814) 333-5061
Fax
(814) 333-5067
NPI assigned
Jun 5, 2017
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 CW021474 PA Primary

Addresses

Primary practice location

18201 Conneaut Lake Rd
Meadville, PA 16335-3757

Mailing address

1034 Grove St
Meadville, PA 16335-2945
Phone (814) 333-5061

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamela.Dailey@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20201207001086 PA Practitioner - Clinical Social Worker 7517379019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meadville Medical CenterGroup PAC ID 4284535790, 139 clinicians

Practice addresses (Care Compare)

1034 Grove St
Meadville, PA 16335-2945

16792 Conneaut Lake Rd
Meadville, PA 16335-3748
Phone (814) 373-2335

704 N Main St
Meadville, PA 16335-1955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW021474PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meadville Medical Center Clinical Current Accepting new patients
Meadville Medical Center CurrentSince Jul 6, 2021 Accepting new patients

Locations

1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728

16792 Conneaut Lake Rd
#G
Meadville, PA 16335
Phone (814) 373-2335

18201 Conneaut Lake Rd
Meadville, PA 16335
Phone (814) 333-5060

751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081

Interoperability endpoints

  • Direct secure messaging: pamela.dailey@directaddress.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1346779311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18201 CONNEAUT LAKE RD",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353757",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "PAMELA",
        "middle_name": "RAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamela.Dailey@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "PAMELA DAILEY DIRECT ADDRESS MEDITECH EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "18201 Conneaut Lake Rd",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163353757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

Verify at the official NPI Registry.