Active NPI
Harold S. Dalton Jr., MSW, LCSW, CADC
- Clinical Social Worker
- Media, PA
National Provider Identifier
1609839620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013854
- Practice address
- 24 Veteran Square
2ND Floor
Media, PA 19063-3101 - Phone
- (610) 565-2690
- Fax
- (610) 565-2695
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4530 | PA | |
| Clinical Social Worker | 1041C0700X | Q10000516 | DE | |
| Clinical Social Worker | 1041C0700X | CW013854 | PA | Primary |
Addresses
Primary practice location
24 Veteran Square
2ND Floor
Media, PA 19063-3101
Mailing address
12 Veterans SQ Ste 200
2ND Floor
Media, PA 19063-3129
Phone (610) 565-2690
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010175980001 | Medicaid | PA | |
| 102080464 | Other | PA | UNITED BEHAVIORAL HEALTH |
| 1010175980002 | Medicaid | PA | |
| 7600130 | Other | PA | AETNA |
| DA1658217 | Other | PA | HIGHMARK BC/BS |
| MIS 171545000 | Other | PA | MAGELLAN |
| 9730 | Other | PA | PENN BEHAVIORAL HEALTH |
| 2318608 | Other | PA | PERSONAL CHOICE |
| 234586 | Other | PA | COMPSYCH |
| 351291 | Other | PA | MANAGED HEALTH - TRICARE |
| 149079 - A917651 | Other | PA | VALUE OPTIONS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4530 | PA | MD | Addiction (Substance Use Disorder) Counselor |
| Q10000516 | DE | MD | Clinical Social Worker |
| CW013854 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities Inc | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Wilmington, DE
- NPI 1033142617
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533859200000",
"number": "1609839620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 VETERANS SQ STE 200",
"address_2": "2ND FLOOR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633129",
"telephone_number": "610-565-2690",
"fax_number": "610-565-2695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 VETERAN SQUARE",
"address_2": "2ND FLOOR",
"city": "MEDIA",
"state": "PA",
"postal_code": "190633101",
"telephone_number": "610-565-2690",
"fax_number": "610-565-2695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "HAROLD",
"middle_name": "S.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MSW, LCSW, CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2018-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "PA",
"license": "4530",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DE",
"license": "Q10000516",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010175980001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "102080464",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1010175980002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7600130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BC/BS",
"identifier": "DA1658217",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "MIS 171545000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENN BEHAVIORAL HEALTH",
"identifier": "9730",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "2318608",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "234586",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH - TRICARE",
"identifier": "351291",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "149079 - A917651",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Media, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.