RONNA DALLAL (L.I.C.S.W.) – Social Worker, NPI 1932407863

RONNA DALLAL (L.I.C.S.W.) is a healthcare provider. based in Brookline, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.I.C.S.W.. They hold a License No. 104651 (MA). The NPI Number for RONNA DALLAL (L.I.C.S.W.) is 1932407863

Main info

Female
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
RONNA DALLAL (L.I.C.S.W.)
NPI
1932407863
Phone
(617) 734-7889
Address
22 CHESTNUT PL APT 405
Enumeration Date
1 March 2011
Last Update Date
1 March 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086607949
Graduation Year
1979 (47 years ago)
PAC ID
9537343595
Group Practice PAC ID
0244218360
Professional Enrollment ID
I20110415000365
Address ID
MA020812553WA1600XHWYX304
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for RONNA DALLAL (L.I.C.S.W.)

  • 22 CHESTNUT PL APT 405

    BROOKLINE, MA 024457534

    Phone: (617) 734-7889

    Type: Mailing

  • 226 FIELD STREET

    NEW BEDFORD, MA 02740

    Phone: (508) 979-5557

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110415000365IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour32521$0
View full utilization report →

Insurance plans in this area (ZIP 02445)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244218360View full group profile
NameSpecialtyState
Nurse PractitionerMA
Certified Clinical Nurse Specialist (Cns)MA
Psychiatry, Geriatric PsychiatryMA
P S Y C H I A T R YMA
-MA
Clinical PsychologistMA
Clinical Social WorkerMA
Certified Clinical Nurse Specialist (Cns)MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Is there an official ID for RONNA DALLAL (L.I.C.S.W.) in U.S. healthcare records?
The official identifier for RONNA DALLAL (L.I.C.S.W.) is NPI 1932407863.
Is RONNA DALLAL (L.I.C.S.W.) still an active registrant?
RONNA DALLAL (L.I.C.S.W.) carries an active NPI according to the public dataset.
How would a patient describe RONNA DALLAL (L.I.C.S.W.)'s focus?
For RONNA DALLAL (L.I.C.S.W.), the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is RONNA DALLAL (L.I.C.S.W.) registered?
Use Brookline, Massachusetts as the headline location for RONNA DALLAL (L.I.C.S.W.) here.
Can I trust this NPI listing for RONNA DALLAL (L.I.C.S.W.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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