Active NPI
Heather Dormer
- Clinical Social Worker
- Lawrence, MA
National Provider Identifier
1114024387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113173
- Practice address
- 430 N Canal St
FSMV
Lawrence, MA 01840-1246 - Phone
- (978) 327-6618
- Fax
- (978) 327-6601
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113173 | MA | Primary |
Addresses
Primary practice location
430 N Canal St
FSMV
Lawrence, MA 01840-1246
Mailing address
52 Hardy Rd
Londonderry, NH 03053-2828
Phone (603) 432-4932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113173 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1114024387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HARDY RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030532828",
"telephone_number": "603-432-4932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N CANAL ST",
"address_2": "FSMV",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018401246",
"telephone_number": "978-327-6618",
"fax_number": "978-327-6601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORMER",
"first_name": "HEATHER",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "113173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.