Individual provider Active NPI

Jeana Dealene Dale, LCSW

  • Clinical Social Worker
  • Charleston, SC
National Provider Identifier
1366636250
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11924-C Issued in NV
Practice address
169 Ashley Ave
Charleston, SC 29425-8905
Phone
(843) 876-2375
NPI assigned
Sep 4, 2007
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11924-C NV Primary
Clinical Social Worker 1041C0700X LICSW1141589 MA

Addresses

Primary practice location

169 Ashley Ave
Charleston, SC 29425-8905

Mailing address

169 Ashley Ave
Charleston, SC 29425-8905
Phone (843) 876-2375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, SC, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190611003640 AZ Practitioner - Clinical Social Worker 6305179052 Reassigns benefits to 3 organizations
I20230222000352 CA Practitioner - Clinical Social Worker 6305179052 Reassigns benefits to 2 organizations
I20240717002284 SC Practitioner - Clinical Social Worker 6305179052 Reassigns benefits to 1 organization
I20251111002541 MA Practitioner - Clinical Social Worker 6305179052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 E Thomas Rd
Suite 2200
Phoenix, AZ 85012-3133
Phone (866) 630-0966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LICSW1141589MAMDClinical Social Worker
11924-CNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind PC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Grow Healthcare Group PC Clinical CurrentSince Nov 25, 2022 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Nov 29, 2023 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 5, 2021 Accepting new patients
Sonoran Life Solutions, Inc. CurrentSince Feb 25, 2019 Accepting new patients

Locations

1646 N Litchfield Rd
Ste B250
Goodyear, AZ 85395
Phone 62397433334

13460 N 94th Dr
Ste M1
Peoria, AZ 85381
Phone (623) 972-3131

20 E Thomas Rd
Ste 2200
Phoenix, AZ 85012
Phone (310) 515-8113

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

8700 E Vista Bonita Dr
Ste 228
Scottsdale, AZ 85255
Phone (623) 974-3333

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

27240 Turnberry Ln
Ste 200
Valencia, CA 91355
Phone (661) 289-6992

1460 Maria Ln
Ste 300
Walnut Creek, CA 94596
Phone (510) 214-3980

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

Organizations & group practices 5

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1366636250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294258905",
            "telephone_number": "843-876-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "JEANA",
        "middle_name": "DEALENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11924-C",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1141589",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.