Organization Active NPI

Heather Wilder Dodds LCSW,LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1003188673
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05283400 Issued in NJ
Legal business name
HEATHER WILDER DODDS LCSW,LLC
Practice address
628 Shrewsbury Ave Ste H
Tinton Falls, NJ 07701-4912
Phone
(908) 447-9226
NPI assigned
Jan 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Heather Dodds, LCSW
Title
Counselor
Phone
(908) 447-9226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05283400 NJ Primary

Addresses

Primary practice location

628 Shrewsbury Ave Ste H
Tinton Falls, NJ 07701-4912

Mailing address

14 Hancock Lane
Middletown, NJ 07748
Phone (908) 447-9226

National Provider Directory

National Provider Directory

Locations

628 Shrewsbury Ave
Ste H
Tinton Falls, NJ 07701
Phone (732) 618-4950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1003188673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 HANCOCK LANE",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "07748",
            "telephone_number": "908-447-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 SHREWSBURY AVE STE H",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014912",
            "telephone_number": "908-447-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER WILDER DODDS LCSW,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "DODDS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "908-447-9226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05283400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.