Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619734217 Individual Practitioner Male Practitioner

Dylan Pakkala , LMSW

Social Worker • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Dylan Pakkala, LMSW is a registered healthcare professional specializing in Social Worker in Ithaca, NY. Practice services are available at 201 E GREEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 E Green St

Ithaca, NY 148505635

Telephone 6072746200
Associated Practice Facility / Clinic
🏢 Tompkins County Facility NPI 1588686596

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.1 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
110 Specialists

Practicing in Ithaca, NY (23970 Statewide)

Telehealth Adoption Rate
2.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-14
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY 123541

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker

NUCC Taxonomy Code: 104100000X

State License NY 72-P127407-01

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Isadora Herold

Social Worker

NPI 1003795824
NPI 1013732395

Licensed Master Social Worker

Dr. Gerard Lippert , MD

Psychiatry & Neurology - Psychiatry

NPI 1013955152

Doctor of Medicine (M.D.)

Melissa Naylor , LMSW

Social Worker - Clinical

NPI 1023896081

Licensed Master Social Worker

Katie Peters

Social Worker - Clinical

NPI 1073088621
Brenda Hill , LCSW

Social Worker - Clinical

NPI 1093142499

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated June 14, 2024

Recorded as DYLAN PAKKALA, LMSW

NPI Profile Active March 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 01, 2024

Registered at 201 E GREEN ST, ITHACA, NY 148505635 (Tel: 6072746200)

📍
Updated Business Mailing Address March 01, 2024

Registered at 201 E GREEN ST, ITHACA, NY 148505635 (Tel: 6072746200)

👤
Provider Name / Credentials Updated March 01, 2024

Recorded as DYLAN PAKKALA, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2024

Social Worker (License #72-P127407-01 in NY)

🟢
Initial NPI Registration & Enumeration March 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619734217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2024
Last Update: June 14, 2024
Sole Proprietor: No

Mailing Address

201 E Green St

Ithaca, NY 148505635

Phone: 6072746200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.