Active NPI
Daniel Michael Offner, LCSW
- Clinical Social Worker
- San Diego, CA
National Provider Identifier
1235213570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 12419
- Practice address
- 333 Olive St
San Diego, CA 92103-6215 - Phone
- (619) 260-1872
- Fax
- (619) 295-8098
- NPI assigned
- Oct 24, 2006
- 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 | LCS 12419 | CA | Primary |
Addresses
Primary practice location
333 Olive St
San Diego, CA 92103-6215
Mailing address
333 Olive St
San Diego, CA 92103-6215
Phone (619) 260-1872
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228902 | Other | CA | MHN PROVIDER NUMBER |
| LCS 12419 | Other | CA | CA LICENSE NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 12419 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Allen Ruyle Licensed Clinical Social Worker, Inc. | Clinical | 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.
-
- Clinical Social Worker
- San Diego, CA
- NPI 1710366802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290384000000",
"number": "1235213570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 OLIVE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036215",
"telephone_number": "619-260-1872",
"fax_number": "619-295-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 OLIVE ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921036215",
"telephone_number": "619-260-1872",
"fax_number": "619-295-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OFFNER",
"first_name": "DANIEL",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2010-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 12419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER NUMBER",
"identifier": "228902",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE NUMBER",
"identifier": "LCS 12419",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.