Individual provider Active NPI

Sallie Elizabeth Dunham-Davis, LCSW

  • Clinical Social Worker
  • Oneonta, NY
National Provider Identifier
1639387830
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027926-1 Issued in NY
Practice address
75 Market St
Oneonta, NY 13820-2515
Phone
(607) 433-0209
Fax
(607) 433-0209
NPI assigned
May 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R027926-1 NY Primary

Addresses

Primary practice location

75 Market St
Oneonta, NY 13820-2515

Mailing address

75 Market St
Oneonta, NY 13820-2515
Phone (607) 433-0209

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
I20120224000116 NY Practitioner - Clinical Social Worker 6800054651 Practice locations: Oneonta, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Main St
Suite 2B
Oneonta, NY 13820-2515
Phone (607) 433-0209

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027926-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1179532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639387830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202515",
            "telephone_number": "607-433-0209",
            "fax_number": "607-433-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 MARKET ST",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138202515",
            "telephone_number": "607-433-0209",
            "fax_number": "607-433-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNHAM-DAVIS",
        "first_name": "SALLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027926-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.