Individual provider Active NPI

Daniel Gerard Galusha, LCSW

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1114512753
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
090467-01 Issued in NY
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

Updated by the provider on Mar 5, 2021

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 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

IdentifierTypeStateIssuer
090467-01OtherNY090467-01

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
090467-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Villa of Hope CurrentSince May 10, 2016 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.

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.

Verify at the official NPI Registry.