Active NPI
Vivian Aline Dolkart, LICSW
- Clinical Social Worker
- Lebanon, NH
National Provider Identifier
1154470615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 357
- Practice address
- 9 Hanover St
Suite 2
Lebanon, NH 03766-1312 - Phone
- (603) 448-0126
- Fax
- (603) 448-0129
- NPI assigned
- Jan 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107330 | MA | |
| Clinical Social Worker | 1041C0700X | 357 | NH | Primary |
Addresses
Primary practice location
9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Mailing address
9 Hanover St
Suite 2
Lebanon, NH 03766-1312
Phone (603) 448-0126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80001925 | Medicaid | NH |
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 |
|---|---|---|---|
| 107330 | MA | MD | Clinical Social Worker |
| 357 | NH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Central Services, Inc | Past | Accepting new patients | |
| West Central Services, Inc. | Past | Accepting new patients | |
| Milford Regional Counseling Services | Clinical | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Milford, NH
- NPI 1124215439
-
- Case Manager/Care Coordinator
- Claremont, NH
- NPI 1013377571
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lebanon, NH
- NPI 1174635684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206576000000",
"number": "1154470615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HANOVER ST",
"address_2": "SUITE 2",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661312",
"telephone_number": "603-448-0126",
"fax_number": "603-448-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 HANOVER ST",
"address_2": "SUITE 2",
"city": "LEBANON",
"state": "NH",
"postal_code": "037661312",
"telephone_number": "603-448-0126",
"fax_number": "603-448-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLKART",
"first_name": "VIVIAN",
"middle_name": "ALINE",
"name_prefix": "Ms.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2008-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107330",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NH",
"license": "357",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80001925",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.