Individual provider Active NPI

Caryn Lynn Doehler, MSW

  • Clinical Social Worker
  • Northville, MI
National Provider Identifier
1144378845
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801073495 Issued in MI
Practice address
332 E Main St
Northville, MI 48167-7401
Phone
(248) 982-1029
Fax
(248) 380-1830
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801073495 MI Primary

Addresses

Primary practice location

332 E Main St
Northville, MI 48167-7401

Mailing address

332 E Main St
Northville, MI 48167-7401
Phone (248) 982-1029

Other identifiers 1

IdentifierTypeStateIssuer
0895606OtherMIBLUECROSSBLUE SHIELDOFMI

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

LicenseStateTypeSpecialty
6801073495MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144378845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481677401",
            "telephone_number": "248-982-1029",
            "fax_number": "248-380-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 E MAIN ST",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481677401",
            "telephone_number": "248-982-1029",
            "fax_number": "248-380-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOEHLER",
        "first_name": "CARYN",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801073495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELDOFMI",
            "identifier": "0895606",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.