Individual provider Active NPI

Payal Dalal, LCSW

  • Clinical Social Worker
  • Glen Ridge, NJ
National Provider Identifier
1316609282
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
099548 Issued in NY
Practice address
162 Midland Ave
Glen Ridge, NJ 07028-2132
Phone
(347) 308-4957
NPI assigned
Oct 8, 2021
Last updated
Nov 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 099548 NY Primary
Clinical Social Worker 1041C0700X 44SC06487700 NJ
Social Worker 104100000X 07-8880-01 NY

Addresses

Primary practice location

162 Midland Ave
Glen Ridge, NJ 07028-2132

Mailing address

162 Midland Ave
Glen Ridge, NJ 07028-2132
Phone (347) 308-4957

Other practice location 1

160 W 86th St
New York, NY 10024-4018
Phone (212) 362-8755

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laptop

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250725002999 NY Practitioner - Clinical Social Worker 2062929946 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07-8880-01NYMDSocial Worker
44SC06487700NJMDClinical Social Worker
099548NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Center for Mental Health, Inc. Current Accepting new patients
Families and Individuals in Recovery CurrentSince May 23, 2025 Accepting new patients

Locations

1090 Saint Nicholas Ave
Lowr
New York, NY 10032
Phone (212) 543-0777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793750400000",
    "number": "1316609282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 MIDLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282132",
            "telephone_number": "347-308-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 MIDLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282132",
            "telephone_number": "347-308-4957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 W 86th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100244018",
            "country_code": "US",
            "telephone_number": "212-362-8755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALAL",
        "first_name": "PAYAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "099548",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06487700",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "07-8880-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "160 W 86th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100244018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.