Holly Amelia Dahlseid, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4228 Issued in ND

Practice address

650 E Indian School Rd
Phoenix, AZ 85012-1839

Phone

(602) 708-7213

NPI assigned

Dec 28, 2007

Last updated

Jan 22, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1649454406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-708-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 E INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121839",
            "telephone_number": "602-708-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHLSEID",
        "first_name": "HOLLY",
        "middle_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-28",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK",
            "identifier": "4228",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peder M Dahl, P.T.
• Thomas Edward Dahl, D.C., F.I,A.C.A
• Todd A Dahl, LCSW
• Tracie Dahl, OTD, OTR/L
• Jonathan Dahlquist
• Susan Annette Dahlstedt, PT, DPT
• Jennifer Lynn Dahmani, MSN, APRN, PMHNP-BC
• John F Dahu, OD
• Shaun Daidone, M.D.
• Austen Dailey

• Clinical Social Worker in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.