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DORI A DALTON LISW-S
NPI 1932429537
Social Worker - Clinical in Fremont, OH

Active since June 04, 2010PECOS EnrolledAccepts Medicare Assignment
2228 HAYES AVE STE C, FREMONT, OH 43420(567) 455-7206(567) 314-0020 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dori A Dalton Lisw-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DORI A DALTON LISW-S (NPI 1932429537) is an individual clinical provider in Fremont, Ohio, licensed in Ohio (I0700036) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fremont, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1932429537
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDORI A DALTONCredential: LISW-S
Location Address2228 HAYES AVE STE CFremont, OH 43420-2699
Mailing Address915 Tucker Ln Apt BFremont, OH 43420-5803 · (567) 455-7206 · Fax (567) 314-0020
Phone(567) 455-7206
Fax(567) 314-0020
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 4, 2010
Last NPPES UpdateDecember 6, 2024
NPPES CertifiedDecember 6, 2024
✔ NPI 1932429537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I0700036
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2228 HAYES AVE STE C, Fremont, OH 43420
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Secondary Practice Location 1

Location 1915 Tucker Ln Apt BFremont, OH 43420-5803 · Phone (567) 455-7206 · Fax (567) 314-0020

Other Identifiers 1

Medicaid0081830OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dori A Dalton Lisw-s is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870625262
PECOS Enrollment IDI20100721000179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
53 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43420 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dori Dalton's NPI number?

The NPI number for Dori Dalton is 1932429537. It was assigned to this individual provider in the NPPES registry on June 4, 2010.

Where is Dori Dalton located?

Dori Dalton practices at 2228 Hayes Ave Ste C, Fremont, OH 43420. The listed phone number is (567) 455-7206.

What is Dori Dalton's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Dori Dalton enrolled in Medicare?

Yes. Dori Dalton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dori Dalton accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 3 other insurers list Dori Dalton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dori Dalton was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.