Doluge Behavioral Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801019214 Issued in MI

Legal business name

DOLUGE BEHAVIORAL SERVICES, PLLC

Practice address

220 W Congress St FL 2
Detroit, MI 48226-3289

Phone

(313) 963-4979

Fax

(313) 963-4997

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Gloria Jackson, LMSW, ACSW, BCDNPI 1205874369

Title

Ceo

Phone

(313) 963-7949

Specialties & licenses 1

Addresses

Other names 1

• Gloria Jackson Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria Jackson, MSW

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1205874369
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104915503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263289",
            "telephone_number": "313-963-4979",
            "fax_number": "313-963-4997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W CONGRESS ST FL 2",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482263289",
            "telephone_number": "313-963-4979",
            "fax_number": "313-963-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLUGE BEHAVIORAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-963-7949",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, ACSW, BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801019214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gloria Jackson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valentina Dojkic, RN
• Bram A Dolcourt, M.D.
• Mary Dolin, LPN
• Heather S Dolman, MD
• Doluge Behavioral Services PLLC
• George Domany, PA-C
• Mitchell P Dombrowski, MD
• Jamie Domenico, RD
• Domestic Home Help Care Service
• Domestic Life Services LLC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Aug 22, 2020; 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.