Virginia Bralley Dalton, LCSW-S
NPI 1104249986ActiveIndividual· Social Worker, Clinical· Live Oak, TX
Social Worker, Clinical (LCSW-S) in Live Oak, Texas, licensed in TX, with an NPI issued in January 2014. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104249986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW-S |
| Sole proprietor | No |
| NPI issued | Jan 29, 2014 |
| Last updated in NPPES | Jan 26, 2023 |
| Certified by provider | Jan 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 56256 | TX |
| Social Worker | 104100000X | 56256 | TX |
| Case Manager/Care Coordinator | 171M00000X | 56256 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (TX) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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