Dandy, a Licensed Clinical Social Worker Corporation

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DANDY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION

Practice address

27 W Anapamu St # 132
Santa Barbara, CA 93101-3107

Phone

(805) 699-5381

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

David Edward Russ, LCSW

Title

President

Phone

(805) 699-5381

Specialties & licenses 1

Addresses

Other names 1

• Destination Counseling, Licensed Clinical Social Worker Doing business as

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1902430283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W ANAPAMU ST # 132",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013107",
            "telephone_number": "805-699-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 W ANAPAMU ST # 132",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013107",
            "telephone_number": "805-699-5381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANDY, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "RUSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-699-5381",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Destination Counseling, Licensed Clinical Social Worker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Dalton Stein, MFT
• Carrie Daly
• Matthew Casey Daly, MD
• Jessica Damazo
• Julie Christine Damico
• Danelles Guest Home
• Khoosheh Daneshi, M.A.
• Jeffrey Tatum Danhauer, M.A.
• Daniel F Craviotto Jr a Professional Medical Corporation
• Danielle Thomas MD Inc

• Community/Behavioral Health Agency in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.