James Peter Doran, LCSW
Individual provider Active NPI Clinical Social Worker · Chesterfield, VA
NPI 1346264199 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346264199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 0904000288 (VA)
- Practice address
- 10106 Krause Rd
Suite 100C
Chesterfield, VA 23832-6572 - Phone
- (804) 751-0277
- Fax
- (804) 751-9086
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Princeton, NJ 08540
Phone (804) 240-8628
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260220003764 | NJ | Practitioner - Clinical Social Worker | 9032370689 | Practice locations: Princeton, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904000288 | VA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 0904000288 | VA | Yes |
Addresses
Primary practice location
10106 Krause Rd
Suite 100C
Chesterfield, VA 23832-6572
Mailing address
10106 Krause Rd
Suite 100C
Chesterfield, VA 23832-6572
Phone (804) 751-0277
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10607 | Other | VA | CIGNA BEHAVIORAL HEALTH |
| 094949 | Other | VA | ANTHEM BLUE CROSS/ BLUE S |
Other providers in Chesterfield, VA
- Raymond Dinunzio
- Jennifer Dishner
- Divyne Health Adult Day Center
- Florise E Dock-Chung
- Mary Domhan
- Dorison Inc
- Margaret A Dossie
- Olivia Downing
- Joyce Renee Drew-Ellis
- DSGB Construction LLC
All providers in Chesterfield, VA · Clinical Social Worker in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.