Thomas Charles Dipaola, LICENSED CLINICAL SO

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05274200 Issued in NJ

Practice address

71 W Main St
Suite 306
Freehold, NJ 07728-2138

Phone

(609) 731-0456

Fax

(732) 252-8612

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1306966767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 W MAIN ST STE 306",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282139",
            "telephone_number": "609-731-0456",
            "fax_number": "732-252-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 W MAIN ST",
            "address_2": "SUITE 306",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282138",
            "telephone_number": "609-731-0456",
            "fax_number": "732-252-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIPAOLA",
        "first_name": "THOMAS",
        "middle_name": "CHARLES",
        "name_prefix": "Mr.",
        "credential": "LICENSED CLINICAL SO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05274200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Dilts, LPC
• Dorea Dimaggio, PA-C
• Michael L Dimino, MD
• Dipaola Center for Psychotherapy LLC
• Carol Lynn Dipaola, LICENSED CLINICAL SO
• Donna Dipietro, CRNA
• Kelley Dippold
• Aspasia Sue Disakias, L.AC
• Robert Michael Disogra, AU.D.
• Jessica Distefano, MS, LAC

• Clinical Social Worker in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; 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.