Active NPI
Dreamwalker LM.S.W. PLLC
- Social Worker
- North Chili, NY
National Provider Identifier
1912558164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 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 DirectoryNPI 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.