James Richard Dolan Jr., DSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RO52824-1 Issued in NY

Practice address

199 N Wellwood Ave
Suite 4
Lindenhurst, NY 11757-4003

Phone

(631) 807-0940

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164570495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 N WALNUT ST",
            "city": "NORTH MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583015",
            "telephone_number": "631-807-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 N WELLWOOD AVE",
            "address_2": "SUITE 4",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117574003",
            "telephone_number": "631-807-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLAN",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO52824-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Desena
• Gail Dicorcia, LPN
• Gary Gasper Difatta, D.C.
• Christopher Dito
• Garima Dixit
• Tom Dolise
• Mary Ann Dolson, L.P.N.
• Arlene Donnatin, NP
• David R. Dorfman, MD
• Shouline Dorsainvil

• Clinical Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Social Worker in New York

• 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.