Individual provider Active NPI

William Michael Doolin, LCSW,LSCSW

  • Clinical Social Worker
  • Kansas City, MO
National Provider Identifier
1205992658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001029711 Issued in MO
Practice address
9237 Ward Pkwy
Suite 105
Kansas City, MO 64114-3365
Phone
(816) 523-2200
Fax
(816) 523-0770
NPI assigned
Dec 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 2001029711 MO Primary

Addresses

Primary practice location

9237 Ward Pkwy
Suite 105
Kansas City, MO 64114-3365

Mailing address

9237 Ward Pkwy
Suite 105
Kansas City, MO 64114-3365
Phone (816) 523-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000401 KS Practitioner - Clinical Social Worker 1254480098 Practice locations: Louisburg, KS

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Missouri, Columbia School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Louisburg, KS 66053
Phone (913) 206-4083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001029711MOMDClinical Social Worker
1084KSMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205992658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY",
            "address_2": "SUITE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-523-2200",
            "fax_number": "816-523-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9237 WARD PKWY",
            "address_2": "SUITE 105",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641143365",
            "telephone_number": "816-523-2200",
            "fax_number": "816-523-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLIN",
        "first_name": "WILLIAM",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW,LSCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001029711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.