Individual provider Active NPI

Dale Allgeier, LCSW

  • Clinical Social Worker
  • Erie, PA
National Provider Identifier
1710041843
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW007163L Issued in PA
Practice address
1932 W 8TH St
Erie, PA 16505-4937
Phone
(814) 455-4009
Fax
(814) 455-7715
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW007163L PA Primary

Addresses

Primary practice location

1932 W 8TH St
Erie, PA 16505-4937

Mailing address

1932 W 8TH St
Erie, PA 16505-4937
Phone (814) 455-4009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050420000309 PA Practitioner - Clinical Social Worker 1254379324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Erie Counseling IncGroup PAC ID 3274571336, 2 clinicians

Practice addresses (Care Compare)

1932 W 8TH St
Erie, PA 16505-4937
Phone (814) 455-4009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW007163LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Erie Counseling Inc Psychologist CurrentSince Oct 1, 2004 Accepting new patients

Locations

1932 W 8th St
Erie, PA 16505
Phone (814) 455-4009

301 W 10th St
Erie, PA 16502
Phone (814) 455-4009

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.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1710041843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1932 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054937",
            "telephone_number": "814-455-4009",
            "fax_number": "814-455-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 W 8TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054937",
            "telephone_number": "814-455-4009",
            "fax_number": "814-455-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLGEIER",
        "first_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW007163L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.