Christine B Dalton, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4024 Issued in GA

Practice address

83 Athens St
Jefferson, GA 30549-1401

Phone

(706) 387-0573

Fax

(706) 387-0573

NPI assigned

Sep 5, 2008

Last updated

Aug 21, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Integrity Counseling and Personal Development LLC

  • Clinical Social Worker
  • Jefferson, GA
  • NPI 1457769739
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1043468747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 ATHENS ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491401",
            "telephone_number": "706-387-0573",
            "fax_number": "706-387-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 ATHENS ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305491401",
            "telephone_number": "706-387-0573",
            "fax_number": "706-387-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALTON",
        "first_name": "CHRISTINE",
        "middle_name": "B",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "4024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "817420986A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crawford W Long Pharmacy Inc LTC
• Allison Cox Crawford, CCC-SLP
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• Clair Linji Crow
• Jeffrey S Curry, P.T.
• Amy Grizzle David, DMD
• Berhane De Barros
• Jamie Fitzgerald Dukes Jr., MS, ATC, LAT
• Susanna Keneda Dutch, OTR/L
• Jeanna Ellis

• Clinical Social Worker in Jefferson, GA
• Providers in Jefferson, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.