Individual provider Active NPI

Andrea Janette Dalporto, P-LCSW

  • Clinical Social Worker
  • High Point, NC
National Provider Identifier
1124308499
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P006618 Issued in NC
Practice address
401 Taylor Ave
High Point, NC 27260-7467
Phone
(336) 882-8907
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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 P006618 NC Primary

Addresses

Primary practice location

401 Taylor Ave
High Point, NC 27260-7467

Mailing address

902 Bonner Drive
Jamestown Site-
Jamestown, NC 27282
Phone (336) 889-6161

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
P006618NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Piedmont Past 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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1124308499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 BONNER DRIVE",
            "address_2": "JAMESTOWN SITE-",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "27282",
            "telephone_number": "336-889-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 TAYLOR AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272607467",
            "telephone_number": "336-882-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALPORTO",
        "first_name": "ANDREA",
        "middle_name": "JANETTE",
        "credential": "P-LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P006618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.