Michelle Marie Dailey, LCSW
Individual provider Active NPI Clinical Social Worker · Waldwick, NJ
NPI 1902248503 · NPPES record last updated Jul 24, 2013
Key facts
- NPI
- 1902248503
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC05277100 (NJ)
- Practice address
- 27 Campbell St
Waldwick, NJ 07463-2403 - Phone
- (201) 670-0411
- NPI assigned
- Jul 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Nicola Weiss PHD LLC
Practice addresses (Care Compare)
416 Gloucester St
Englewood, NJ 07631-4706
Phone (201) 320-7174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131119001336 | NJ | Practitioner - Clinical Social Worker | 9638305709 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05277100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Debra a Turitz MSW, LCSW | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05277100 | NJ | Yes |
Addresses
Primary practice location
27 Campbell St
Waldwick, NJ 07463-2403
Mailing address
27 Campbell St
Waldwick, NJ 07463-2403
Phone (201) 670-0411
Other providers in Waldwick, NJ
- Maria P Cosentino
- Jacqueline Crane
- Elisabeth Curshen
- CV Path to Wellness
- Dolores D'Andrea
- Day Family Chiropractic LLC
- Isabel R. De Master
- Zoltan F Deak
- Stephen Michael Decker
- Lauren Defressine
All providers in Waldwick, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.