Individual provider Active NPI

Daniel Gregory Oladokun-Dybowski, LMSW

  • Social Worker
  • Casa Grande, AZ
National Provider Identifier
1417661158
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LMSW-20399 Issued in AZ
Practice address
115 E 1St St
Casa Grande, AZ 85122-5201
Phone
(520) 421-1120
Fax
(520) 421-2877
NPI assigned
Jan 9, 2023
Last updated
Jan 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMSW-20399 AZ
Mental Health Counselor 101YM0800X LMSW-20399 AZ
Social Worker 104100000X LMSW-20399 AZ Primary
Naturopath 175F00000X LMSW-20399 AZ
Homeopath 175L00000X LMSW-20399 AZ
Health & Wellness Coach 171400000X LMSW-20399 AZ

Addresses

Primary practice location

115 E 1St St
Casa Grande, AZ 85122-5201

Mailing address

640 E Palo Verde St
Casa Grande, AZ 85122-1628
Phone (520) 431-2447

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://secure.simplepractice.com/users/sign_in Direct
CONNECT URL https://secure.simplepractice.com/users/sign_in Direct

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

State licenses

LicenseStateTypeSpecialty
LMSW-20399AZMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1417661158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E PALO VERDE ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851221628",
            "telephone_number": "520-431-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 1ST ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225201",
            "telephone_number": "520-421-1120",
            "fax_number": "520-421-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLADOKUN-DYBOWSKI",
        "first_name": "DANIEL",
        "middle_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": false
        },
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "AZ",
            "license": "LMSW-20399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "primary website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://secure.simplepractice.com/users/sign_in",
            "address_1": "115 E 1st St",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851225201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://secure.simplepractice.com/users/sign_in",
            "affiliation": "N",
            "endpointDescription": "Simple Practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "https://secure.simplepractice.com/users/sign_in",
            "address_1": "640 E Palo Verde St",
            "city": "Casa Grande",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.