Provider Demographics
NPI:1881902237
Name:SIMPSON, DALE GILMAN (MSW, LCSW)
Entity type:Individual
Prefix:MR
First Name:DALE
Middle Name:GILMAN
Last Name:SIMPSON
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4012
Mailing Address - Country:US
Mailing Address - Phone:619-804-6002
Mailing Address - Fax:
Practice Address - Street 1:3845 AVOCADO SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-7319
Practice Address - Country:US
Practice Address - Phone:619-588-3653
Practice Address - Fax:619-588-3654
Is Sole Proprietor?:No
Enumeration Date:2010-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW 28556101YM0800X
CA768101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health