Dalia Mary Thomas, MSW
Individual provider Active NPI Clinical Social Worker · El Cajon, CA
NPI 1104151372 · NPPES record last updated Apr 6, 2018
Key facts
- NPI
- 1104151372
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW82132 (CA)
- Practice address
- 436 S Magnolia Ave
Suite 201
El Cajon, CA 92020-5237 - Phone
- (619) 631-7400
- Fax
- (619) 631-7402
- NPI assigned
- Oct 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Centro de Salud de la Comunidad de San Ysidro,Inc.
Practice addresses (Care Compare)
875 El Cajon Blvd
El Cajon, CA 92020-5714
Phone (619) 662-4100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181022002709 | CA | Practitioner - Clinical Social Worker | 6608129655 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW82132 | CA | MD | Clinical Social Worker |
Practice roles (3 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current |
Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro Inc | Current |
Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
875 El Cajon Blvd
El Cajon, CA 92020
Phone (619) 205-4585
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW82132 | CA | Yes |
Addresses
Primary practice location
436 S Magnolia Ave
Suite 201
El Cajon, CA 92020-5237
Mailing address
436 S Magnolia Ave
Suite 201
El Cajon, CA 92020-5237
Phone (619) 631-7400
Other providers in El Cajon, CA
- Kali Breanne Thigpen
- Amanda Thomas
- Aria Thomas
- Augure Thomas
- Cassandra Thomas
- Judith Nell Thomas
- Patrick Thomas I
- Samantha Selket Thomas
- Barbara Thompson
- Sarah Rene Thompson
All providers in El Cajon, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.