Individual provider Active NPI

Greg Steven Dalder, L.C.S.W

  • Clinical Social Worker
  • Mountain View, CA
National Provider Identifier
1851745418
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW70964 Issued in CA
Practice address
11 Sutter Creek LN
Mountain View, CA 94043-3108
Phone
(650) 933-3893
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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 LCSW70964 CA Primary

Addresses

Primary practice location

11 Sutter Creek LN
Mountain View, CA 94043-3108

Mailing address

11 Sutter Creek LN
Mountain View, CA 94043-3108
Phone (650) 933-3893

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW70964CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1851745418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SUTTER CREEK LN",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940433108",
            "telephone_number": "650-933-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 SUTTER CREEK LN",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940433108",
            "telephone_number": "650-933-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALDER",
        "first_name": "GREG",
        "middle_name": "STEVEN",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW70964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.