Healthcare Provider Details

I. General information

NPI: 1699484303
Provider Name (Legal Business Name): ERIN NICOLE DAILEY MSW, LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2022
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GOLD ST NE
WILSON NC
27893-4020
US

IV. Provider business mailing address

100 GOLD ST NE
WILSON NC
27893-4020
US

V. Phone/Fax

Practice location:
  • Phone: 252-206-4171
  • Fax:
Mailing address:
  • Phone: 252-206-4171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017050
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: