Daniel Pouli Afualo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3415663501 Issued in UT

Practice address

3680 White Ridge Dr
St George, UT 84790-6632

Phone

(435) 256-5950

NPI assigned

May 20, 2010

Last updated

May 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. George Children & Family Psychiatric Center PC

  • Specialist
  • St George, UT
  • NPI 1225326044
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1497074132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 WHITE RIDGE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906632",
            "telephone_number": "435-256-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 WHITE RIDGE DR",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847906632",
            "telephone_number": "435-256-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFUALO",
        "first_name": "DANIEL",
        "middle_name": "POULI",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3415663501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Medical Supply, Inc. (Advantage Home Medical, Inc.)
• Advantage Spine Care Center LLC
• Hannah Aedo
• Affinity Care, LLC
• Affirmative Life Skills
• Eliana Aguayo
• Chelsie E Aguirre
• Ahc Home Health of St George LLC (Advanced Home Health & Hospice of St. George)
• Ahc of St George LLC (Advanced Health Care of St George)
• Ann Marie Ahee, DNP, APRN, NP-C

• Clinical Social Worker in St George, UT
• Providers in St George, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.