Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Daniel J Dodge, LCSWR

Individual provider Social Worker · NPI 1265553317

Mr. Daniel J Dodge, LCSWR is a Clinical Social Worker in Fort Drum, New York. Qualified in 1986, 40 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Licensed in
NY
In the registry since
2007
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Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Bridge Plz, Ogdensburg, NY 13669-2219 — (315) 322-2486

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence R034732 (NY)

Record details

NPI number1265553317
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSWR
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESDecember 14, 2021
Certification dateDecember 14, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Drum