Provider Demographics
NPI:1992095525
Name:SPADY, DREAMEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DREAMEL
Middle Name:
Last Name:SPADY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8545 PATTERSON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-6455
Mailing Address - Country:US
Mailing Address - Phone:804-537-2217
Mailing Address - Fax:804-442-7111
Practice Address - Street 1:8545 PATTERSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-6455
Practice Address - Country:US
Practice Address - Phone:804-537-2217
Practice Address - Fax:804-442-7111
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-16
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040069411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical