Dorn M Dougan, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02408 Issued in RI

Practice address

101 Friendship St
Providence, RI 02903-3716

Phone

(401) 528-3820

NPI assigned

Mar 14, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1215353230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FRIENDSHIP ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033716",
            "telephone_number": "401-528-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FRIENDSHIP ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029033716",
            "telephone_number": "401-528-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "DORN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmund T Dosremedios, DPM
• Karen Maldonado Doucet, LMHC, CAGS
• Joanne Louise Doucette, ED.D.
• Karen Doucette, RN
• Marianela Dougal, LICSW
• Andrea G Dougherty, LICSW
• Janna Douglas
• Linna Douk, RDN
• David Clifton Dove, PH.D.
• McKayla A Dove, LMHC

• Clinical Social Worker in Providence, RI
• Providers in Providence, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; 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.