Individual provider Active NPI

Guy Daly, MSW LSW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1639663636
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1700001 Issued in OH
Practice address
524 W Broad St
Columbus, OH 43215-2775
Phone
(614) 622-1020
NPI assigned
Jun 22, 2018
Last updated
Jun 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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 S.1700001 OH Primary

Addresses

Primary practice location

524 W Broad St
Columbus, OH 43215-2775

Mailing address

488 Shepard Rd
Mansfield, OH 44907-1130
Phone (419) 632-4173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220126002536 OH Practitioner - Clinical Social Worker 0244124543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1700001OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Individual and Family Services, Inc. CurrentSince Nov 18, 2021 Accepting new patients
The Center for Individual & Family Services, Inc. CurrentSince Nov 18, 2021 Accepting new patients
New Directions Eap Inc. Past Accepting new patients

Locations

741 Scholl Rd
Mansfield, OH 44907
Phone (419) 756-1717

Organizations & group practices 3

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": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1639663636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 SHEPARD RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071130",
            "telephone_number": "419-632-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152775",
            "telephone_number": "614-622-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "GUY",
        "credential": "MSW LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1700001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.