Individual provider Active NPI

Kevin J Dailor, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1467466524
Registry record updated Jan 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
056876 Issued in NY
Practice address
2080 Ridge Rd W
Suite 3
Rochester, NY 14626-2725
Phone
(585) 720-1480
Fax
(585) 720-0024
NPI assigned
Jul 27, 2006
Last updated
Jan 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 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 056876 NY Primary

Addresses

Primary practice location

2080 Ridge Rd W
Suite 3
Rochester, NY 14626-2725

Mailing address

2080 Ridge Rd W
Suite 3
Rochester, NY 14626-2725
Phone (585) 720-1480

Other identifiers 1

IdentifierTypeStateIssuer
171263FKOtherNYPREFERRED CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160608000403 NY Practitioner - Clinical Social Worker 0941590665 Reassigns benefits to 1 organization
Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2080 W Ridge Rd
Suite 3
Rochester, NY 14626-2725
Phone (585) 720-1480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056876NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
K. J. Dailor, LCSW, PLLC Clinical CurrentSince Feb 2, 2026 Accepting new patients
Kevin J. Dailor, LCSW-R, LLC Clinical CurrentSince Feb 2, 2026 Accepting new patients

Locations

2080 W Ridge Rd
Ste 3
Rochester, NY 14626
Phone (585) 720-1480

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735689600000",
    "number": "1467466524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 RIDGE RD W",
            "address_2": "SUITE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262725",
            "telephone_number": "585-720-1480",
            "fax_number": "585-720-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 RIDGE RD W",
            "address_2": "SUITE 3",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146262725",
            "telephone_number": "585-720-1480",
            "fax_number": "585-720-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILOR",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2025-01-01",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "171263FK",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.