Individual provider Active NPI

David J Dean III, MSW, LSW

  • Social Worker
  • New Castle, PA
National Provider Identifier
1124304076
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW130380 Issued in PA
Practice address
1301 E Washington St
New Castle, PA 16101-4415
Phone
(724) 730-3505
Fax
(724) 434-7889
NPI assigned
Oct 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW130380 PA Primary

Addresses

Primary practice location

1301 E Washington St
New Castle, PA 16101-4415

Mailing address

1301 E Washington St
New Castle, PA 16101-4415
Phone (724) 923-6124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20141112001475 PA Practitioner - Clinical Social Worker 4284856923 Practice locations: New Castle, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 E Washington St
New Castle, PA 16101-4415
Phone (724) 923-6124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW130380PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Day Counseling & Psychiatric Services, LLC Social Worker CurrentSince Aug 18, 2020 Accepting new patients

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": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1124304076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 E WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014415",
            "telephone_number": "724-923-6124",
            "fax_number": "724-434-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161014415",
            "telephone_number": "724-730-3505",
            "fax_number": "724-434-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_suffix": "III",
        "credential": "MSW, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

Sources for this page

Verify at the official NPI Registry.