Individual provider Active NPI

Dorothy Jeanne Nold, MA MSW

  • Clinical Social Worker
  • Plymouth, NH
National Provider Identifier
1164634473
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1348 Issued in NH
Practice address
300 Main St
Suite 100
Plymouth, NH 03264-4518
Phone
(603) 536-1933
NPI assigned
May 7, 2007
Last updated
Dec 11, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW6229 FL
Clinical Social Worker 1041C0700X 1348 NH Primary

Addresses

Primary practice location

300 Main St
Suite 100
Plymouth, NH 03264-4518

Mailing address

24 Brooks Circle
Hebron, NH 03241
Phone (603) 744-7941

Other identifiers 1

IdentifierTypeStateIssuer
Z9270OtherFLBLUE CROSS BLUE SHIELD FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 28, 2024 through Feb 29, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SW6229FLMDClinical Social Worker
1348NHMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bodhi Counseling Services LLC PastSince Sep 5, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1164634473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BROOKS CIRCLE",
            "city": "HEBRON",
            "state": "NH",
            "postal_code": "03241",
            "telephone_number": "603-744-7941",
            "fax_number": "603-744-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "SUITE 100",
            "city": "PLYMOUTH",
            "state": "NH",
            "postal_code": "032644518",
            "telephone_number": "603-536-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLD",
        "first_name": "DOROTHY",
        "middle_name": "JEANNE",
        "name_prefix": "Mrs.",
        "credential": "MA MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "Z9270",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NH

Sources for this page

Verify at the official NPI Registry.