Individual provider Active NPI

Dave A Harvey, LCSW

  • Clinical Social Worker
  • Wedowee, AL
National Provider Identifier
1104058262
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0373C Issued in AL
Practice address
129 Ward Haven Dr
Wedowee, AL 36278-8404
Phone
(256) 393-3922
NPI assigned
Aug 21, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0373C AL Primary

Addresses

Primary practice location

129 Ward Haven Dr
Wedowee, AL 36278-8404

Mailing address

129 Ward Haven Dr
Wedowee, AL 36278-8404
Phone (256) 363-3922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20090904000062 AL Practitioner - Clinical Social Worker 7012062557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality of Life Health Services IncGroup PAC ID 7810890902, 39 clinicians

Practice addresses (Care Compare)

1020 Tuscaloosa Ave
Gadsden, AL 35901-3005
Phone (256) 546-4606

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0373CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quality of Life Health Services, Inc CurrentSince Aug 1, 2009 Accepting new patients
Quality of Life Health Services Inc Current Accepting new patients
Quality of Life Health Services, Inc CurrentSince Aug 1, 2009 Accepting new patients
Quality of Life Health Services, Inc Current Accepting new patients

Locations

1316 Noble St
Anniston, AL 36201
Phone (256) 236-0221

1020 Tuscaloosa Ave
Gadsden, AL 35901
Phone (256) 546-4606

1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1104058262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WARD HAVEN DR",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362788404",
            "telephone_number": "256-363-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WARD HAVEN DR",
            "city": "WEDOWEE",
            "state": "AL",
            "postal_code": "362788404",
            "telephone_number": "256-393-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVEY",
        "first_name": "DAVE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "0373C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wedowee, AL

Sources for this page

Verify at the official NPI Registry.