Active NPI
Daniel Gerard Galusha, LCSW
- Clinical Social Worker
- Rochester, NY
National Provider Identifier
1114512753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090467-01
- Practice address
- 1099 Jay St BLDG J
Rochester, NY 14611-1153 - Phone
- (585) 328-0834
- NPI assigned
- Mar 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090467-01 | NY | Primary |
Addresses
Primary practice location
1099 Jay St BLDG J
Rochester, NY 14611-1153
Mailing address
1099 Jay St BLDG J
Rochester, NY 14611-1153
Phone (585) 328-0834
Other practice location 1
3300 Dewey Ave
Rochester, NY 14616-3741
Phone (585) 328-0834 ext. 574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090467-01 | Other | NY | 090467-01 |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.villaofhope.org/ | Other | Villa Of Hope |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090467-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villa of Hope | Current | Accepting new patients |
Locations
3300 Dewey Ave
Rochester, NY 14616
Phone (585) 865-1550
Organizations & group practices 1
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.
-
- Voluntary or Charitable Agency
- Rochester, NY
- NPI 1578640298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1114512753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 JAY ST BLDG J",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146111153",
"telephone_number": "585-328-0834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1099 JAY ST BLDG J",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146111153",
"telephone_number": "585-328-0834"
}
],
"practiceLocations": [
{
"address_1": "3300 Dewey Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146163741",
"country_code": "US",
"telephone_number": "585-328-0834 x574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALUSHA",
"first_name": "DANIEL",
"middle_name": "GERARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-05",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090467-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "090467-01",
"identifier": "090467-01",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.villaofhope.org/",
"affiliation": "Y",
"endpointDescription": "Homepage",
"affiliationName": "Villa Of Hope",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Directory",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1099 Jay St Bldg J",
"city": "Rochester",
"state": "NY",
"country_code": "US",
"postal_code": "146111153",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.