Individual provider Active NPI

John E. Dalzell, MA, LMSW, MA

  • Social Worker
  • New York, NY
National Provider Identifier
1346782745
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
092976-1 Issued in NY
Practice address
26 W 9TH St Apt 3E
New York, NY 10011-8923
Phone
(917) 943-5980
NPI assigned
Nov 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092976-1 NY Primary

Addresses

Primary practice location

26 W 9TH St Apt 3E
New York, NY 10011-8923

Mailing address

26 West 9TH Street
# 3E
New York, NY 10011
Phone (917) 943-5980

Other practice location 1

750 Astor Ave
2nd floor
Bronx, NY 10467-9304
Phone (212) 582-9100

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
092976-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346782745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WEST 9TH STREET",
            "address_2": "# 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10011",
            "telephone_number": "917-943-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W 9TH ST APT 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118923",
            "telephone_number": "917-943-5980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Astor Ave",
            "address_2": "2nd floor",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104679304",
            "country_code": "US",
            "telephone_number": "212-582-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "JOHN",
        "middle_name": "E.",
        "credential": "MA, LMSW, MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092976-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.