Dax Glasson-Darling, LCSW, MT-BC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

124029 Issued in CA

Practice address

459 Fulton St Ste 106
San Francisco, CA 94102-4364

Phone

(510) 991-5816

NPI assigned

May 30, 2017

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Divergent Worlds Psychotherapy and Consulting, Inc.

  • Psychologist
  • San Francisco, CA
  • NPI 1801422415
  NPD

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1578091997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 FULTON ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024364",
            "telephone_number": "415-625-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 FULTON ST STE 106",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024364",
            "telephone_number": "510-991-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLASSON-DARLING",
        "first_name": "DAX",
        "credential": "LCSW, MT-BC",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW95805",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "124029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harvey William Glasser, M.D.
• Eric H Glassgold, M.D.
• Erin Alicia Glassman, LCSW
• Jerel H Glassman, D.O.
• Jessica B. Glassman, MD
• Christine M. Glastonbury, MB, BS
• Olivia Glatt, MD
• Shulamit Glaubach, M.D.
• Adam Nathaniel Glauberg
• Glaucoma Consultants of the Bay Area a Med Corp

• Clinical Social Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.