Individual provider Active NPI

Vijay V Dalal, MSW, MBA, LICSW

  • Clinical Social Worker
  • Framingham, MA
National Provider Identifier
1275957573
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1031456 Issued in MA
Practice address
15 Millwood Cir
Framingham, MA 01701-3732
Phone
(617) 631-3067
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1031456 MA
Clinical Social Worker 1041C0700X 1031456 MA Primary

Addresses

Primary practice location

15 Millwood Cir
Framingham, MA 01701-3732

Mailing address

15 Millwood Cir
Framingham, MA 01701-3732
Phone (617) 631-3067

Other practice location 1

1290 Worcester Rd
Framingham, MA 01702-5254
Phone (617) 631-3067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20180716001327 MA Practitioner - Clinical Social Worker 7517188782 Practice locations: Framingham, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 Millwood Cir
Framingham, MA 01701-3732
Phone (617) 631-3067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
1031456MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Granada House, Inc. Current Accepting new patients
Vijay Dalal Licsw Clinical CurrentSince Aug 1, 2018 Accepting new patients

Organizations & group practices 2

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1275957573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MILLWOOD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013732",
            "telephone_number": "617-631-3067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MILLWOOD CIR",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013732",
            "telephone_number": "617-631-3067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1290 Worcester Rd",
            "address_purpose": "LOCATION",
            "city": "Framingham",
            "state": "MA",
            "postal_code": "017025254",
            "country_code": "US",
            "telephone_number": "617-631-3067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAL",
        "first_name": "VIJAY",
        "middle_name": "V",
        "credential": "MSW, MBA, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "1031456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1031456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Framingham, MA

Sources for this page

Verify at the official NPI Registry.