Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265553317 Individual Practitioner Male Practitioner

Daniel J Dodge , LCSWR

Social Worker • Fort Drum, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Daniel Dodge, LCSWR is a certified Social Worker practicing in Fort Drum, NY. With approximately 40 years of clinical experience since completing medical education in 1986, Daniel Dodge delivers high-quality medical care to the local community at 11050 MOUNT BELVEDERE BLVD.

Daniel Dodge accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11050 Mount Belvedere Blvd

Fort Drum, NY 136025438

Telephone 3157726703
Associated Practice Facility / Clinic
🏢 Us Army Facility NPI 1992786859

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Fort Drum, NY

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
40 Yrs +18.0 yrs vs City Avg
City Avg: 22.0 Yrs
State Avg: 20.1 Yrs
Regional Practice Density
29 Specialists

Practicing in Fort Drum, NY (23970 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dodge (40 Years) 40 Yrs
Fort Drum Specialty Average (22.0 Years) 22.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-12-14
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License NY R034732

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Secondary Practice Locations

1 Bridge Plz, Ste 207a

Ogdensburg, NY 136692219

Phone: 3153222486

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Amy Sovocool , LCSW

Social Worker

NPI 1174087480

Licensed Clinical Social Worker

Dr. Mark Lessard , PhD

Psychologist - Clinical

NPI 1679533673

Doctor of Philosophy (Ph.D.)

Dr. Zachary Collins , PhD

Psychologist - Clinical

NPI 1841597564

Doctor of Philosophy (Ph.D.)

Paula Malbon , PCNS

Nurse Practitioner - Psychiatric/Mental Health

NPI 1902037500

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location December 14, 2021

Registered at 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025438 (Tel: 3157726703)

NPI Profile Active March 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 04, 2017

Registered at 1 BRIDGE PLZ, STE 207A, OGDENSBURG, NY 136692219 (Tel: 3153862167)

📍
Updated Business Mailing Address March 04, 2017

Registered at 600 NEW YORK AVE, OGDENSBURG, NY 136692514 (Tel: 3153222486)

👤
Provider Name / Credentials Updated March 04, 2017

Recorded as DANIEL DODGE, LCSWR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2017

Social Worker (License #R034732 in NY)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 136171493 (Tel: 3153862167)

📍
Updated Business Mailing Address July 09, 2007

Registered at 80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 136171493 (Tel: 3153862167)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as DANIEL DODGE, LCSWR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Social Worker (License #R034732 in NY)

🟢
Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1265553317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2007
Last Update: December 14, 2021
Sole Proprietor: No

Mailing Address

600 New York Ave

Ogdensburg, NY 136692514

Phone: 3153222486

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.