Gregory L Dillensnyder, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW014306 Issued in PA

Practice address

11676 Perry Hwy
Suite 2100
Wexford, PA 15090-7201

Phone

(724) 934-7722

Fax

(724) 934-5955

NPI assigned

Aug 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Delaware County Professional Services, Inc

  dba LifeStance

  • Psychiatry Physician
  • Media, PA
  • NPI 1952485864
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871503078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 NORTH CRAIG STREET",
            "address_2": "SUITE B",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-621-3777",
            "fax_number": "412-622-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11676 PERRY HWY",
            "address_2": "SUITE 2100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907201",
            "telephone_number": "724-934-7722",
            "fax_number": "724-934-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLENSNYDER",
        "first_name": "GREGORY",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "688765",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natassia Dickey, LPC
• Devin Dickinson
• Joanna Paige Dickson, PT
• Emily Rose Difiore, M.S. CCC-SLP
• Marcel Difiore
• David Joseph Dimarco Jr., O.D.
• Dina Patterson, M.D., P.C.
• Erika Dobson
• Doctors Cameron and Murthy, PC
• Christopher Dolce, OD

• Clinical Social Worker in Wexford, PA
• Providers in Wexford, PA by specialty
• Clinical Social Worker in Pennsylvania

• 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.