Active NPI
Dayna Edwards Schertler, LCSW
- Clinical Social Worker
- Amarillo, TX
National Provider Identifier
1770704793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 21903
- Practice address
- 1400 Wallace Blvd
106
Amarillo, TX 79106-1708 - Phone
- (806) 354-5620
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 21903 | TX | Primary |
Addresses
Primary practice location
1400 Wallace Blvd
106
Amarillo, TX 79106-1708
Mailing address
1400 Wallace Blvd
106
Amarillo, TX 79106-1708
Phone (806) 354-5620
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 186077701 | Medicaid | TX | |
| 47629231 | Medicaid | NM | |
| 186077703 | Medicaid | TX | |
| 200270630 A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21903 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1770704793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"address_2": "106",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "806-354-5620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 WALLACE BLVD",
"address_2": "106",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061708",
"telephone_number": "806-354-5620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHERTLER",
"first_name": "DAYNA",
"middle_name": "EDWARDS",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21903",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186077701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47629231",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186077703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200270630 A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.