Individual provider Active NPI

Linda Dorman, MSW, LMSW, LCAS

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1174581136
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086090 Issued in MI
Practice address
1008 Birch Creek Dr
Wilmington, NC 28403-4271
Phone
(810) 772-3329
NPI assigned
May 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086090 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-01428 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 3108 NC
Clinical Social Worker 1041C0700X C008367 NC

Addresses

Primary practice location

1008 Birch Creek Dr
Wilmington, NC 28403-4271

Mailing address

1008 Birch Creek Dr
Wilmington, NC 28403-4271
Phone (810) 772-3329

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
C-01428MIMDAddiction (Substance Use Disorder) Counselor
6801086090MIMDClinical Social Worker
C008367NCMDClinical Social Worker
3108NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1174581136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 BIRCH CREEK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034271",
            "telephone_number": "810-772-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 BIRCH CREEK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034271",
            "telephone_number": "810-772-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMAN",
        "first_name": "LINDA",
        "name_prefix": "Ms.",
        "credential": "MSW, LMSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-01",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086090",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01428",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "3108",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008367",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; 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.