Individual provider Active NPI

Ronna Dallal, L.I.C.S.W.

  • Social Worker
  • New Bedford, MA
National Provider Identifier
1932407863
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
104651 Issued in MA
Practice address
226 Field Street
New Bedford, MA 02740
Phone
(508) 979-5557
NPI assigned
Mar 1, 2011
Last updated
Mar 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 104651 MA Primary

Addresses

Primary practice location

226 Field Street
New Bedford, MA 02740

Mailing address

22 Chestnut PL Apt 405
Brookline, MA 02445-7534
Phone (617) 734-7889

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20110415000365 MA Practitioner - Clinical Social Worker 9537343595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boston Health Care IncGroup PAC ID 0244218360, 10 clinicians

Practice addresses (Care Compare)

1600 Providence Hwy
Suite 167
Walpole, MA 02081-2553
Phone (508) 660-7949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104651MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Healthcare Inc CurrentSince May 8, 2013 Accepting new patients

Locations

1600 Providence Hwy
#167
Walpole, MA 02081
Phone (508) 660-7949

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1932407863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CHESTNUT PL APT 405",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024457534",
            "telephone_number": "617-734-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 FIELD STREET",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "02740",
            "telephone_number": "508-979-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAL",
        "first_name": "RONNA",
        "credential": "L.I.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "104651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.