Ellen J Dial, MSW, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

PA SW 123695 Issued in PA

Practice address

112 N Broad St
RM 821
Philadelphia, PA 19102-1512

Phone

(215) 568-0860

Fax

(215) 568-0769

NPI assigned

Aug 15, 2008

Last updated

Aug 15, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218758400000",
    "number": "1982850434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 CHEW AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191381735",
            "telephone_number": "215-843-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N BROAD ST",
            "address_2": "RM 821",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021512",
            "telephone_number": "215-568-0860",
            "fax_number": "215-568-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAL",
        "first_name": "ELLEN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "PA SW 123695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Endocrine Associates
• Diagnostic Imaging Inc
• Diagnostic Testing Services
• Ibrahim Diakite
• Alexandra Diakonikolis, PT, DPT
• Kevin J Dial, CRS, CFRS
• Megan Dialectos, CRNP
• Binta Diallo, CRNP
• Hadja Idiatou Diallo, CNM
• Madiou Diallo, PHARMD

• Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.