NPIMap

Nichole R Dayson, MA

Individual provider Active NPI Case Manager/Care Coordinator · North Charleston, SC

NPI 1770143760 · NPPES record last updated Jun 29, 2022

Key facts

NPI
1770143760
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
4925 Lacross Rd Ste 111
North Charleston, SC 29406-6512
Phone
(843) 552-1220
Fax
(843) 552-0502
NPI assigned
Jun 20, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Specialized Alternative for Families and Youth of South Carolina, Inc. Past
since Jul 3, 2022		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

4925 Lacross Rd Ste 111
North Charleston, SC 29406-6512

Mailing address

10100 Elida Rd
Delphos, OH 45833-9056
Phone (419) 695-8010

Other identifiers

IdentifierTypeStateIssuer
1760596480MedicaidSC

Other providers in North Charleston, SC

All providers in North Charleston, SC · Case Manager/Care Coordinator in South Carolina

Sources for this page

Verify at the official NPI Registry.