Organization Active NPI

Dreamwalker LM.S.W. PLLC

  • Social Worker
  • North Chili, NY
National Provider Identifier
1912558164
Registry record updated Sep 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
DREAMWALKER LM.S.W. PLLC
Practice address
11 Aston Villa
North Chili, NY 14514-9820
Phone
(585) 507-9250
Fax
(585) 571-4749
NPI assigned
Sep 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2019

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

Authorized official

Name
Ms. Stacie Lynn Dailey, L.M.S.W.
Title
Owner/Social Worker
Phone
(585) 507-9250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

11 Aston Villa
North Chili, NY 14514-9820

Mailing address

11 Aston Villa
North Chili, NY 14514-9820
Phone (585) 507-9250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569542400000",
    "number": "1912558164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ASTON VILLA",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145149820",
            "telephone_number": "585-507-9250",
            "fax_number": "585-571-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ASTON VILLA",
            "city": "NORTH CHILI",
            "state": "NY",
            "postal_code": "145149820",
            "telephone_number": "585-507-9250",
            "fax_number": "585-571-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWALKER LM.S.W. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A",
        "authorized_official_last_name": "DAILEY",
        "authorized_official_first_name": "STACIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "585-507-9250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chili, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.