Individual provider Active NPI

Carol A Dallinga, LCSW CGP

  • Clinical Social Worker
  • Ardsely, NY
National Provider Identifier
1861456485
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0278621 Issued in NY
Practice address
731 Saw Mill River Road
Suite 7
Ardsely, NY 10502
Phone
(914) 693-6906
Fax
(914) 693-2266
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 R0278621 NY Primary

Addresses

Primary practice location

731 Saw Mill River Road
Suite 7
Ardsely, NY 10502

Mailing address

731 Saw Mill River Rd Ste 7
Ardsley, NY 10502-1814
Phone (914) 447-9196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 14, 2025 through Aug 14, 2027

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

731 Saw Mill River Rd
Suite 7
Ardsley, NY 10502-1814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0278621NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861456485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER RD STE 7",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021814",
            "telephone_number": "914-447-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 SAW MILL RIVER ROAD",
            "address_2": "SUITE 7",
            "city": "ARDSELY",
            "state": "NY",
            "postal_code": "10502",
            "telephone_number": "914-693-6906",
            "fax_number": "914-693-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLINGA",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW CGP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2026-07-13",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0278621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.