Organization Active NPI

Stacey Dolen MSS Lisw LLC

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1326361841
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0800367 Issued in OH
Legal business name
STACEY DOLEN MSS LISW LLC
Practice address
7510 Kingstonview CT
Cincinnati, OH 45255-2495
Phone
(513) 502-8264
Fax
(513) 233-7340
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Ms. Stacey B Dolen, MSS, LISWNPI 1063651065
Title
Owner
Phone
(513) 502-8264

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X I.0800367 OH Primary

Addresses

Primary practice location

7510 Kingstonview CT
Cincinnati, OH 45255-2495

Mailing address

7510 Kingstonview CT
Cincinnati, OH 45255-2495
Phone (513) 502-8264

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1326361841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7510 KINGSTONVIEW CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552495",
            "telephone_number": "513-502-8264",
            "fax_number": "513-233-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 KINGSTONVIEW CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452552495",
            "telephone_number": "513-502-8264",
            "fax_number": "513-233-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY DOLEN MSS LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "DOLEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-502-8264",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSS, LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0800367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.