Carol Van Doorn, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15354 Issued in MD

Legal business name

CAROL VAN DOORN, LLC

Practice address

209 Center St
Frederick, MD 21701-6309

Phone

(301) 351-7421

NPI assigned

Jul 17, 2013

Last updated

Jan 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol Van Doorn, LCSW-CNPI 1497096622

Title

Owner/Therapist

Phone

(301) 351-7421

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Patterson Van Doorn, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1497096622
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1003257171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 CASTLE ROCK RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CENTER ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016309",
            "telephone_number": "301-351-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL VAN DOORN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "VAN DOORN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "301-351-7421",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064812400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Carlin
• Manolo Carlos, DPT
• Caitlin Alene Carlson, LCSW-C
• Donald Albert Carlson Jr., PH D
• Nathan Eric Carnell, MD
• Paige Elizabeth Carozzolo
• Christopher B. Carpenter, LCSW-C
• Christopher R. Carr, LCSW-C
• Carroll Creek Health Care LLC
• Jennalyn Elizabeth Carswell, LPN

• Clinical Social Worker in Frederick, MD
• Providers in Frederick, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.