Individual provider Active NPI

Dexter Claude Daniel, DSW, LMSW

  • Social Worker
  • Albertson, NY
National Provider Identifier
1619793411
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11082901 Issued in NY
Practice address
927 Willis Ave
Albertson, NY 11507-1924
Phone
(631) 486-0741
NPI assigned
Nov 26, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11082901 NY Primary

Addresses

Primary practice location

927 Willis Ave
Albertson, NY 11507-1924

Mailing address

1399 Hempstead Tpke # 1061
Elmont, NY 11003-2404
Phone (631) 486-0741

Other practice location 1

5 Wright Ave
Malverne, NY 11565-2128
Phone (631) 486-0741

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

LicenseStateTypeSpecialty
11082901NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel LMSW, PLLC Social Worker Current Accepting new patients

Locations

927 Willis Ave
Albertson, NY 11507
Phone (516) 271-0004

1399 Hempstead Tpke
Elmont, NY 11003
Phone (516) 687-7071

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1619793411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 HEMPSTEAD TPKE # 1061",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110032404",
            "telephone_number": "631-486-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 WILLIS AVE",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071924",
            "telephone_number": "631-486-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Wright Ave",
            "address_purpose": "LOCATION",
            "city": "Malverne",
            "state": "NY",
            "postal_code": "115652128",
            "country_code": "US",
            "telephone_number": "631-486-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "DEXTER",
        "middle_name": "CLAUDE",
        "name_prefix": "Dr.",
        "credential": "DSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-26",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "11082901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.