Grace Dale, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1500711 Issued in OH

Practice address

8135 Mount Vernon Rd
St Louisville, OH 43071

Phone

(740) 345-5437

NPI assigned

Jul 24, 2017

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

Other names 1

• Grace Evans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• House of New Hope

  • Community/Behavioral Health Agency
  • St Louisville, OH
  • NPI 1134354475
  NPD (past)
• House of New Hope

  • Home Health Agency
  • St Louisville, OH
  • NPI 1619245016
  NPD (past)

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

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396268199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 MOUNT VERNON RD",
            "city": "ST LOUISVILLE",
            "state": "OH",
            "postal_code": "430719670",
            "telephone_number": "740-345-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 MOUNT VERNON RD",
            "city": "ST LOUISVILLE",
            "state": "OH",
            "postal_code": "43071",
            "telephone_number": "740-345-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "GRACE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1500711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "EVANS",
            "credential": "LSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Sue Acord, LPN
• Air Evac EMS Inc
• Kendra Daugherty, LSW
• Thomas Wallace Gitchel Jr., STNA, RN
• Penny Eileen Harris, LSW
• House of New Hope
• House of New Hope

• Social Worker in St Louisville, OH
• Providers in St Louisville, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.