Rebecca Sue Dalton, LCSW
Social Worker, Clinical in Hurlburt Field, FL. Individual provider (NPI-1).
NPI number1053665554
StatusActive
Last updated in NPPESNov 5, 2012
Details
- NPI
- 1053665554
- Entity type
- Individual (NPI-1)
- Name
- Ms. Rebecca Sue Dalton
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2012
- Last updated
- Nov 5, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149.012148 | ID | Yes |
Practice location
113 Lielmanis AveHurlburt Field, FL 32544-5613
Phone 850-881-1020
Mailing address
113 Lielmanis AveHurlburt Field, FL 32544-5613
Phone 850-881-1020
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 34 Clinical Social Worker providers in Hurlburt Field · All 284 providers in Hurlburt Field
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