National Provider Identifier
Dylan Pakkala, LMSW
Dylan Pakkala, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Ithaca, NY and a listed phone number of (607) 274-6200.
Profile Overview
- NPI
- 1619734217
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- March 01, 2024
- Last Updated
- June 14, 2024
Practice Location
- 201 E Green St
- Ithaca, NY 14850-5635
Phone: (607) 274-6200
Specialties
- Social Worker (104100000X)
- Social Worker (104100000X)
Full Record
- NPI
- 1619734217
- Entity Type
- Individual
- Last Name
- Pakkala
- First Name
- Dylan
- Name Prefix
- Mr.
- Credential
- LMSW
- Mailing Street Address
- 201 E Green St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5635
- Mailing Country
- US
- Mailing Phone
- (607) 274-6200
- Practice Street Address
- 201 E Green St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5635
- Practice Country
- US
- Practice Phone
- (607) 274-6200
- Enumeration Date
- March 01, 2024
- Last Updated
- June 14, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X), Social Worker (104100000X)