Dragonfly Support Services, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DRAGONFLY SUPPORT SERVICES, LLC.

Practice address

1105 W Ironwood Dr Lowr Level
Coeur D Alene, ID 83814-2613

Phone

(208) 676-1075

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bailey J White, LCSWNPI 1912348186

Title

Member

Phone

(208) 691-1251

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bailey Jennette White, MSW

  • Clinical Social Worker
  • Post Falls, ID
  • NPI 1912348186
  Authorized official Same address or phone

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1538645155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838770207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W IRONWOOD DR LOWR LEVEL",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142613",
            "telephone_number": "208-676-1075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY SUPPORT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BAILEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "208-691-1251",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Jeff Priebe
• Dr. Bryan Dryden Family Dentistry
• Dr. Daniel R Cullum PA (Implants Northwest)
• Dr. Margo Parker Omd LLC
• Michael J Drager, DPM
• Casey Deanne Drake, MSW
• Tarin Drapeau
• Bradley C Drury, M.D.
• Sydney Drury
• Bryan Rader Dryden, DDS

• Clinical Social Worker in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.