Active NPI
Dorothy Jeanne Nold, MA MSW
- Clinical Social Worker
- Plymouth, NH
National Provider Identifier
1164634473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1348
- Practice address
- 300 Main St
Suite 100
Plymouth, NH 03264-4518 - Phone
- (603) 536-1933
- NPI assigned
- May 7, 2007
- Last updated
- Dec 11, 2014
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z9270 | Other | FL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW6229 | FL | MD | Clinical Social Worker |
| 1348 | NH | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodhi Counseling Services LLC | Past | 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.
-
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- Londonderry, NH
- NPI 1952903767
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.