Individual provider Active NPI

Irene F Dashiell, LCSW

  • Clinical Social Worker
  • Patchogue, NY
National Provider Identifier
1821031550
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044441-1 Issued in NY
Practice address
31 Oak St
Suite 14
Patchogue, NY 11772-2887
Phone
(631) 289-8765
Fax
(631) 447-9717
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R044441-1 NY Primary

Addresses

Primary practice location

31 Oak St
Suite 14
Patchogue, NY 11772-2887

Mailing address

31 Oak St
Suite 14
Patchogue, NY 11772-2887
Phone (631) 289-8765

Other identifiers 1

IdentifierTypeStateIssuer
05161100MedicaidNY

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
I20181004000160 NY Practitioner - Clinical Social Worker 7416209333 Practice locations: Patchogue, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31 Oak St
Suite 14
Patchogue, NY 11772-2841
Phone (631) 289-8765

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R044441-1NYMDClinical Social Worker
044441NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821031550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE 14",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722887",
            "telephone_number": "631-289-8765",
            "fax_number": "631-447-9717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 OAK ST",
            "address_2": "SUITE 14",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722887",
            "telephone_number": "631-289-8765",
            "fax_number": "631-447-9717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASHIELL",
        "first_name": "IRENE",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044441-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05161100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

Verify at the official NPI Registry.