Connie Macaluso-Dickerson, LCSW, NCC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007655 Issued in VA

Practice address

14410 Sommerville CT
Suite 101
Midlothian, VA 23113-6813

Phone

(804) 897-9355

Fax

(804) 897-9359

NPI assigned

Jun 7, 2011

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

Other names 1

• Ms. Connie Macaluso Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Midlothian Behavioral Health Associates, LLC

  • Adult Mental Health Clinic/Center
  • Midlothian, VA
  • NPI 1922326909
  NPD (past)

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1902190069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 CORCORAN DR",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238327433",
            "telephone_number": "804-201-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14410 SOMMERVILLE CT",
            "address_2": "SUITE 101",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136813",
            "telephone_number": "804-897-9355",
            "fax_number": "804-897-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALUSO-DICKERSON",
        "first_name": "CONNIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONNIE",
            "last_name": "MACALUSO",
            "prefix": "MS.",
            "credential": "LCSW, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anne Holland Lynch
• April Storm Lynch, LPC
• Heidi Lynch, LCSW
• M Scott Gore DDS PC
• Bernadette Mendoza Mabanglo-Samson, D.D.S.
• Natalie Macdisi, MD
• Jazmin Ileana Macias, PHARMD
• Rebecca Mackall, M.S. CCC-SLP
• Stephanie Lynn Mackey, M.ED.
• Claire Magill

• Clinical Social Worker in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.