Individual provider Active NPI

Daisi Marie Eyerly, LCSW

  • Clinical Social Worker
  • Clearfield, PA
National Provider Identifier
1841598265
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017206 Issued in PA
Practice address
1229 S 2ND St
Clearfield, PA 16830-3305
Phone
(814) 765-1045
Fax
(814) 765-8489
NPI assigned
Mar 9, 2011
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW125390 PA
Clinical Social Worker 1041C0700X CW017206 PA Primary

Addresses

Primary practice location

1229 S 2ND St
Clearfield, PA 16830-3305

Mailing address

1229 S 2ND St
Clearfield, PA 16830-3305
Phone (814) 765-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20121009000037 PA Practitioner - Clinical Social Worker 6406005420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Free CounselingGroup PAC ID 3971802166, 2 clinicians

Practice addresses (Care Compare)

1229 S 2ND St
Clearfield, PA 16830-3305
Phone (814) 765-1045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW125390PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Be Free Counseling Clinical CurrentSince Aug 7, 2015 Accepting new patients

Locations

1229 S 2nd St
Clearfield, PA 16830
Phone (814) 765-0221

26 S 2nd St
Ste 101
Clearfield, PA 16830
Phone (814) 496-5790

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, 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": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1841598265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303305",
            "telephone_number": "814-765-1045",
            "fax_number": "814-765-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303305",
            "telephone_number": "814-765-1045",
            "fax_number": "814-765-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYERLY",
        "first_name": "DAISI",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW125390",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.