Individual provider Active NPI

Janet Dobler, LICSW

  • Clinical Social Worker
  • Devils Lake, ND
National Provider Identifier
1215978481
Registry record updated Jun 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3198 Issued in ND
Practice address
400 12TH Ave NE
Suite D
Devils Lake, ND 58301-2709
Phone
(701) 351-1934
Fax
(701) 665-2668
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2013

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 3198 ND Primary

Addresses

Primary practice location

400 12TH Ave NE
Suite D
Devils Lake, ND 58301-2709

Mailing address

400 12TH Ave NE
Suite D
Devils Lake, ND 58301-2709
Phone (701) 351-1934

Other identifiers 2

IdentifierTypeStateIssuer
30829OtherNDBCBS
19204MedicaidND

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
3198NDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Country Counseling & Consulting, Inc PastSince May 24, 2010 Accepting new patients

Organizations & group practices 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371254400000",
    "number": "1215978481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH AVE NE",
            "address_2": "SUITE D",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012709",
            "telephone_number": "701-351-1934",
            "fax_number": "701-665-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH AVE NE",
            "address_2": "SUITE D",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "583012709",
            "telephone_number": "701-351-1934",
            "fax_number": "701-665-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBLER",
        "first_name": "JANET",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2013-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30829",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19204",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Devils Lake, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.