Active NPI
Patricia R Dalton, LCSW
- Clinical Social Worker
- Knoxville, TN
National Provider Identifier
1326051186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LSW0000000174
- Practice address
- 1111 N Northshore Dr
Suite S-490
Knoxville, TN 37919-4005 - Phone
- (865) 584-0171
- Fax
- (865) 584-0174
- NPI assigned
- Aug 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | LSW0000000174 | TN | Primary |
Addresses
Primary practice location
1111 N Northshore Dr
Suite S-490
Knoxville, TN 37919-4005
Mailing address
807 Poets Corner Way
Knoxville, TN 37919-7198
Phone (865) 584-0171
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 |
|---|---|---|---|
| LSW0000000174 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Northshore Group, 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, 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": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326051186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 POETS CORNER WAY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379197198",
"telephone_number": "865-584-0171",
"fax_number": "865-584-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N NORTHSHORE DR",
"address_2": "SUITE S-490",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379194005",
"telephone_number": "865-584-0171",
"fax_number": "865-584-0174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "PATRICIA",
"middle_name": "R",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000000174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.