Susan Doran, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW-518 Issued in ID

Practice address

720 E. Alice
Blackfoot, ID 83221

Phone

(208) 785-5898

Fax

(208) 785-5877

NPI assigned

Apr 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Idaho Dept of Health & Welfare Reg 7 Amh BF

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Blackfoot, ID
  • NPI 1114058179
  NPD (past)
• Idaho Dept of Health & Welfare Reg 7 CMH P C

  • Rehabilitation Clinic/Center
  • Blackfoot, ID
  • NPI 1639201593
  NPD (past)

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1497119804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 129",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-785-5898",
            "fax_number": "208-785-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E. ALICE",
            "city": "BLACKFOOT",
            "state": "ID",
            "postal_code": "83221",
            "telephone_number": "208-785-5898",
            "fax_number": "208-785-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LSW-518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis N. Marshall, O.D., P.a.
• Jameson Cade Devine
• Gordon E Dixon Jr., DO
• Vanessa Dixon, LMSW
• DJ Marc Cardinal, MD PA
• Brady J Dowding, PHARM.D. RPH
• Frederick George Downard, O.D.
• Christopher Duke, LAT, ATC
• Shawna Durbin
• Jennifer Lynn Durham, MA

• All providers in Blackfoot, ID
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.