Individual provider Active NPI

Joi Dyson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1891023669
Registry record updated Dec 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14741 Issued in MD
Practice address
2510 Saint Paul St
Baltimore, MD 21218-4760
Phone
(410) 558-0032
Fax
(410) 366-2108
NPI assigned
Dec 6, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2009

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 14741 MD Primary

Addresses

Primary practice location

2510 Saint Paul St
Baltimore, MD 21218-4760

Mailing address

6133 Marlora Rd
Baltimore, MD 21239-1929
Phone (410) 262-7104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100202000514 MD Practitioner - Clinical Social Worker 6103969910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

210 W Pennsylvania Ave
Suite 100
Towson, MD 21204-4507
Phone (443) 416-8029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14741MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Wellness Center, LLC Clinical CurrentSince Aug 6, 2019 Accepting new patients

Locations

210 W Pennsylvania Ave
Ste 100
Towson, MD 21204
Phone (443) 201-1991

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": "1260057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260057600000",
    "number": "1891023669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6133 MARLORA RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212391929",
            "telephone_number": "410-262-7104",
            "fax_number": "410-366-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 SAINT PAUL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212184760",
            "telephone_number": "410-558-0032",
            "fax_number": "410-366-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYSON",
        "first_name": "JOI",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-06",
        "last_updated": "2009-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.