Active NPI
Holly Dorian, LSW
- Social Worker
- Arlington Heights, IL
National Provider Identifier
1396378923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150104011
- Practice address
- 3295 N Arlington Heights Rd Ste 110
Arlington Heights, IL 60004-1588 - Phone
- (847) 668-2842
- NPI assigned
- Feb 21, 2020
- Last updated
- Feb 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 150104011 | IL | Primary |
Addresses
Primary practice location
3295 N Arlington Heights Rd Ste 110
Arlington Heights, IL 60004-1588
Mailing address
3295 N Arlington Heights Rd Ste 110
Arlington Heights, IL 60004-1588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 2, 2024 through Feb 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150104011 | IL | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1396378923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 N ARLINGTON HEIGHTS RD STE 110",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 N ARLINGTON HEIGHTS RD STE 110",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600041588",
"telephone_number": "847-668-2842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORIAN",
"first_name": "HOLLY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150104011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.