David R Dilzer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000626 Issued in VA

Practice address

3058 River Rd W
Goochland, VA 23063-3202

Phone

(804) 556-5400

Fax

(804) 556-5403

NPI assigned

Jun 2, 2006

Last updated

Dec 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Goochland Powhatan Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Goochland, VA
  • NPI 1467448571
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1073551339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230630189",
            "telephone_number": "804-556-5400",
            "fax_number": "804-556-5403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 RIVER RD W",
            "city": "GOOCHLAND",
            "state": "VA",
            "postal_code": "230633202",
            "telephone_number": "804-556-5400",
            "fax_number": "804-556-5403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILZER",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "O86291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - GCH LOC",
            "identifier": "106614",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - POWH LOC",
            "identifier": "106615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "106615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "244014",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A932447",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS - GCH",
            "identifier": "106614",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tirupathi Chindam
• Commonwealth of Virginia State Board of Health (Goochland County Health Dept)
• Kelly J Corcoran, PHARM.D.
• Nancy B Davis, RN WHNP
• Dawson's Pharmacy, Inc.
• Dr W Michael Hudgins PC
• Sharon Otey Duke, COTA
• Edens Garden Birth
• Elk Hill Farm, Inc.
• Envoy of Goochland, LLC (Envoy at the Meadows)

• Clinical Social Worker in Goochland, VA
• Providers in Goochland, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.