Robert Edward Dinan Jr., MSW, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R047223-1 Issued in NY

Practice address

31 Thurber Dr
Waterloo, NY 13165-1649

Phone

(315) 539-1800

NPI assigned

Dec 21, 2006

Sex

Male

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1629132972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W ELISHA ST",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651117",
            "telephone_number": "315-539-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 THURBER DR",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131651649",
            "telephone_number": "315-539-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINAN",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSW, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R047223-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garth A Court, OPTICIAN
• Destinee Creeley
• Bryan D'Aoust, D.C.
• Patricia M D'Arduini, INTERN
• Lisa Depalma
• Steven Edward Dolan, M.A.
• Sandra J Donlon-Landschoot, RN
• Donna Principio
• Tania Doverspike, MHC
• David A Drumheller Sr., LCSW-R

• Clinical Social Worker in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.