Lilianne N Dobert, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R069243 Issued in NY

Practice address

453 Dixon Rd
BLDG 3 Ste 8
Queensbury, NY 12804-1949

Phone

(518) 321-7429

NPI assigned

Jul 20, 2006

Last updated

Oct 17, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/10d65d12-0ecf-4613-84df-07c7c4f09ca4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Warren Washington Association for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson Falls, NY
  • NPI 1073549796
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1225058753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BARBER RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128048646",
            "telephone_number": "518-321-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 DIXON RD",
            "address_2": "BLDG 3 STE 8",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128041949",
            "telephone_number": "518-321-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBERT",
        "first_name": "LILIANNE",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00059721",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R069243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00059721",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "040426031844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "53088",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "NF5211",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isabelle Dickens, MS ED.
• Kaeli Dieckert
• Honor Alyssa Dimezza, MHC-LP
• Richard N Dimick, M.D.
• DME Consulting Agency LLC (Kinney Homecare Equipment and Supplies)
• David Matthew Dolinsky, M.D.
• Brandy L Donbeck, PMHNP-BC
• Douglas C. Cline, M.D., P.C.
• Kayla Lynn Duers, LPN
• Jessica A Dufford, RDH

• Clinical Social Worker in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.