Heather Joy Dale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 27023 Issued in CA

Practice address

3500 Rosehedge Dr
Fullerton, CA 92835-1628

Phone

(949) 278-2204

NPI assigned

Jul 19, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: heather.dale.1@17371.direct.athenahealth.com

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1891137733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 ROSEHEDGE DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351628",
            "telephone_number": "949-278-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ROSEHEDGE DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351628",
            "telephone_number": "949-278-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALE",
        "first_name": "HEATHER",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 27023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Dacanay, LMT,
• Maryam Dadashi
• Patrick Robert Dahl, MD
• Samantha Lynn Dakin
• Dale M. Rosenblum, DPM Inc
• Brian Dam, PHYSICIAN ASSISTANT
• Zeba Damani
• Alan Dang
• Anh T Dang
• Khang Nguyenphuc Dang

• Clinical Social Worker in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.