Active NPI
Daniel Gregory Oladokun-Dybowski, LMSW
- Social Worker
- Casa Grande, AZ
National Provider Identifier
1417661158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LMSW-20399
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMSW-20399 | AZ | MD | Social 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.