Active NPI
Kelly Dolen, LCSW
- Social Worker
- Leominster, MA
National Provider Identifier
1487964060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 216676
- Practice address
- 45 Summer Street
Leominster, MA 01453 - Phone
- (508) 421-4489
- NPI assigned
- Oct 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 216676 | MA | Primary |
Addresses
Primary practice location
45 Summer Street
Leominster, MA 01453
Mailing address
45 Summer Street
Leominster, MA 01453
Phone (508) 421-4489
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287100800000",
"number": "1487964060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SUMMER STREET",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "508-421-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 SUMMER STREET",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "508-421-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLEN",
"first_name": "KELLY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2010-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "216676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
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- Alex Kirk Doering, MD
- Beatrice Glen Domenichella, CNP
- Dominick Dipilla, DMD, PC
- Donald S. Levine, M.D. , P.C..
- Maureen C . Donatelli, M.S., CCC-SLP, CEIS
- Romeo Ralph Donati, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.