Dolph Benjamin Sears Jr., LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15007 Issued in MN

Practice address

314 W Superior St Ste 400
Duluth, MN 55802-1892

Phone

(218) 723-8444

Fax

(218) 529-3440

NPI assigned

Jun 18, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Alcohol and Drug Treatment, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Duluth, MN
  • NPI 1396087805
  NPD (past)
• Center for Alcohol and Drug Treatment, Inc.

  • Professional Counselor
  • Duluth, MN
  • NPI 1619196524
  NPD (past)

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1124688577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021892",
            "telephone_number": "218-723-8444",
            "fax_number": "218-529-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W SUPERIOR ST STE 400",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558021892",
            "telephone_number": "218-723-8444",
            "fax_number": "218-529-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARS",
        "first_name": "DOLPH",
        "middle_name": "BENJAMIN",
        "name_suffix": "Jr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina L Scott, LPCC
• Mark Francis Scott II, M.D.
• Mary Seabloom, LP
• Nicole Susanne Seacotte, MD
• Maxine Camille Seales Kasangana, M.D.
• James Albert Sebastian, MD
• Eric James Seda
• Nichol Lynn Sedivy, RN
• Britany Nicole Seehus
• Seeking Balance, LLC

• Clinical Social Worker in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.