Individual provider Active NPI

George E Dalzell, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1720262058
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015639 Issued in PA
Practice address
5150 Penn Ave
Pittsburgh, PA 15224-1626
Phone
(412) 441-9786
Fax
(412) 363-2375
NPI assigned
Dec 21, 2007
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CW015639 PA
Clinical Social Worker 1041C0700X CW015639 PA Primary

Addresses

Primary practice location

5150 Penn Ave
Pittsburgh, PA 15224-1626

Mailing address

5150 Penn Ave
Pittsburgh, PA 15224-1626
Phone (412) 441-9786

Other practice location 1

99 Autumn St
Aliquippa, PA 15001-1301
Phone (724) 375-5754

Other identifiers 1

IdentifierTypeStateIssuer
CW015639OtherPASTATE LICENSE

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

Practice roles

OrganizationSpecialtyStatusNew patients
Persad Center, Inc. PastSince Aug 15, 2014 Accepting new patients
George E. Dalzell, LCSW PastSince Jan 1, 1990 Accepting new patients
Catia M. Fath, LLC Past Accepting new patients

Organizations & group practices 3

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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1720262058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241626",
            "telephone_number": "412-441-9786",
            "fax_number": "412-363-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 PENN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241626",
            "telephone_number": "412-441-9786",
            "fax_number": "412-363-2375"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Autumn St",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150011301",
            "country_code": "US",
            "telephone_number": "724-375-5754",
            "fax_number": "724-375-5756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALZELL",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "CW015639",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CW015639",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.