Individual provider Active NPI

Dreamel Spady, LCSW

  • Clinical Social Worker
  • Henrico, VA
National Provider Identifier
1992095525
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006941 Issued in VA
Practice address
8545 Patterson Ave Ste 201
Henrico, VA 23229-6455
Phone
(804) 537-2217
Fax
(804) 442-7111
NPI assigned
Apr 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 0904006941 VA Primary

Addresses

Primary practice location

8545 Patterson Ave Ste 201
Henrico, VA 23229-6455

Mailing address

8545 Patterson Ave Ste 201
Henrico, VA 23229-6455
Phone (804) 537-2217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110624000343 VA Practitioner - Clinical Social Worker 8325226277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Renewal Growth and HealingGroup PAC ID 5799189270, 2 clinicians

Practice addresses (Care Compare)

8545 Patterson Ave
Suite 201
Henrico, VA 23229-6455
Phone (804) 372-7463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal, Growth, & Healing Clinical CurrentSince Jul 1, 2021 Accepting new patients

Locations

8545 Patterson Ave
Ste 201
Richmond, VA 23229
Phone (804) 372-7463

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1992095525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-537-2217",
            "fax_number": "804-442-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8545 PATTERSON AVE STE 201",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232296455",
            "telephone_number": "804-537-2217",
            "fax_number": "804-442-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADY",
        "first_name": "DREAMEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-16",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.