Individual provider Active NPI

Ric A Dalke, LSCSW

  • Clinical Social Worker
  • Garden City, KS
National Provider Identifier
1851516496
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW 0703 Issued in KS
Practice address
531 Campus View St
Garden City, KS 67846-7904
Phone
(620) 276-6470
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LSCSW 0703 KS Primary

Addresses

Primary practice location

531 Campus View St
Garden City, KS 67846-7904

Mailing address

901 Lyle Ave
Garden City, KS 67846-5844
Phone (620) 271-0511

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

State licenses

LicenseStateTypeSpecialty
703KSMDProfessional Counselor
LSCSW 0703KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Behavioral Health PastSince Dec 22, 2019 Accepting new patients

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851516496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 LYLE AVE",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465844",
            "telephone_number": "620-271-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 CAMPUS VIEW ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678467904",
            "telephone_number": "620-276-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALKE",
        "first_name": "RIC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LSCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW 0703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.