Domestic Violence Alternative Program LC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DOMESTIC VIOLENCE ALTERNATIVE PROGRAM LC

Practice address

131 S Winter St
Adrian, MI 49221-2602

Phone

(517) 215-1798

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By 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

Mr. John Clark Bailey, LMSW

Title

Program Director

Phone

(517) 215-1798

Specialties & licenses 1

Addresses

Tax ID family

Domestic Violence Alternative Program LC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Domestic Violence Alternative Program LC

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1033530423
  NPD tax ID

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1023412632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S WINTER ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212602",
            "telephone_number": "517-215-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S WINTER ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212602",
            "telephone_number": "517-215-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMESTIC VIOLENCE ALTERNATIVE PROGRAM LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "517-215-1798",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Diane Dochstader
• Laqwana M Dockery
• Megan Dodge
• Nicholas Bradley Doman, D.O.
• Domenick Hall DMD, PLLC
• Domestic Violence Alternative Program LC
• Ashley Doney, DC
• Megan Elizabeth Dopp, RN
• Hasan Doueik, RPH
• Sarah Douglas

• Clinical Social Worker in Adrian, MI
• Providers in Adrian, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.