Individual provider Active NPI

Dennis Everett Alberson, LCSW

  • Clinical Social Worker
  • Battle Ground, WA
National Provider Identifier
1487736757
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00006070 Issued in WA
Practice address
318 E Main St
Battle Ground, WA 98604-8508
Phone
(360) 666-0470
Fax
(360) 666-5057
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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 OR#2244 OR
Clinical Social Worker 1041C0700X LW00006070 WA Primary

Addresses

Primary practice location

318 E Main St
Battle Ground, WA 98604-8508

Mailing address

13911 NE 258TH St
Battle Ground, WA 98604-9754
Phone (360) 666-0470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000827 WA Practitioner - Clinical Social Worker 9436326048 Practice locations: Battle Ground, WA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OR#2244ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1487736757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13911 NE 258TH ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049754",
            "telephone_number": "360-666-0470",
            "fax_number": "360-666-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E MAIN ST",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048508",
            "telephone_number": "360-666-0470",
            "fax_number": "360-666-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERSON",
        "first_name": "DENNIS",
        "middle_name": "EVERETT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "OR#2244",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

Verify at the official NPI Registry.