Individual provider Active NPI

Vanessa Robinson-Dooley, PH.D., LCSW

  • Clinical Social Worker
  • Lawrenceville, GA
National Provider Identifier
1205972015
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW3430 Issued in GA
Practice address
1250 Scenic Hwy Ste 1701-329
Lawrenceville, GA 30045-6359
Phone
(770) 322-4216
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW3430 GA Primary

Addresses

Primary practice location

1250 Scenic Hwy Ste 1701-329
Lawrenceville, GA 30045-6359

Mailing address

1250 Scenic Hwy Ste 1701-329
Lawrenceville, GA 30045-6359
Phone (770) 322-4216

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSW3430GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Empowering Resources Current Accepting new patients
The Social Empowerment Center Clinical Past Accepting new patients
J G Options, LLC PastSince Jan 10, 2005 Accepting new patients
Four Corners Primary Care Centers, Inc. PastSince Feb 15, 2011 Accepting new patients

Locations

1250 Scenic Hwy
Ste 1701329
Lawrenceville, GA 30045
Phone (770) 322-4216

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1205972015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 SCENIC HWY STE 1701-329",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456359",
            "telephone_number": "770-322-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 SCENIC HWY STE 1701-329",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456359",
            "telephone_number": "770-322-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON-DOOLEY",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW3430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.