Individual provider Active NPI

Kathryn Doll, LCSW

  • Clinical Social Worker
  • Coral Springs, FL
National Provider Identifier
1215474499
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 14042 Issued in FL
Practice address
9900 W Sample Rd
Suite 104
Coral Springs, FL 33065-4048
Phone
(754) 229-9662
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 SW 14042 FL Primary

Addresses

Primary practice location

9900 W Sample Rd
Suite 104
Coral Springs, FL 33065-4048

Mailing address

9900 W Sample Rd Ste 309
Coral Springs, FL 33065-4048
Phone (954) 260-8667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170920001837 FL Practitioner - Clinical Social Worker 8628342292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

201 S Biscayne Blvd
Suite 2867
Miami, FL 33131-4330
Phone (786) 269-0333

9900 W Sample Rd
Suite 300
Coral Springs, FL 33065-4077
Phone (954) 260-8667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 14042FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Doll LLC CurrentSince Feb 11, 2017 Accepting new patients
Sailor Health Medical PA Clinical CurrentSince May 5, 2025 Accepting new patients

Locations

9900 W Sample Rd
Ste 309
Coral Springs, FL 33065
Phone (954) 260-8667

9900 W Sample Rd
Ste 104
Coral Springs, FL 33065
Phone (754) 229-9662

9900 W Sample Rd
Ste 300
Coral Springs, FL 33065
Phone (561) 765-5179

201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1215474499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD STE 309",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "954-260-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 W SAMPLE RD",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654048",
            "telephone_number": "754-229-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLL",
        "first_name": "KATHRYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 14042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.