Individual provider Active NPI

Lady-Dreama Noir, LISW-S, LICDC

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1952841850
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1600625-SUPV Issued in OH
Practice address
2996 Summit Springs Dr
Columbus, OH 43207-3498
Phone
(614) 594-9027
NPI assigned
Feb 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2025

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 I.1600625-SUPV OH Primary
Clinical Social Worker 1041C0700X I.1600625 OH

Addresses

Primary practice location

2996 Summit Springs Dr
Columbus, OH 43207-3498

Mailing address

2996 Summit Springs Dr
Columbus, OH 43207-3498
Phone (614) 600-6309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190730003380 OH Practitioner - Clinical Social Worker 8820324791 Reassigns benefits to 5 organizations
Practice locations: Bexley, OH
I20250917000878 FL Practitioner - Clinical Social Worker 8820324791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1600625OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Gordon Legacy LLC CurrentSince Jul 18, 2019 Accepting new patients
Mighty Acorn Counseling LLC CurrentSince Oct 20, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Clinical CurrentSince Sep 20, 2023 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Aug 12, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

25101 Chagrin Blvd
Ste 100
Beachwood, OH 44122
Phone (216) 245-4468

2770 E Main St
Ste 7
Columbus, OH 43209
Phone (614) 599-3261

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

2 Easton Oval
Ste 115
Columbus, OH 43219
Phone (614) 934-6890

4889 Sinclair Rd
Ste 104
Columbus, OH 43229
Phone (415) 294-1754

3433 Agler Rd
Ste 2100
Columbus, OH 43219
Phone (614) 342-0892

1065 Delaware Ave
Ste A
Marion, OH 43302
Phone (614) 568-4646

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

9085 Southern St
Orient, OH 43146
Phone (614) 277-4618

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1952841850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 SUMMIT SPRINGS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432073498",
            "telephone_number": "614-600-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 SUMMIT SPRINGS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432073498",
            "telephone_number": "614-594-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOIR",
        "first_name": "LADY-DREAMA",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-27",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600625-SUPV",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1600625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.