Individual provider Active NPI

Lauren Elizabeth Dottor, DSW, MSW, MS

  • Clinical Social Worker
  • Fountainville, PA
National Provider Identifier
1548475007
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW016462 Issued in PA
Practice address
5055 Swamp Rd Ste 202
Fountainville, PA 18923-9655
Phone
(267) 421-7921
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC004497 PA
Clinical Social Worker 1041C0700X CW016462 PA Primary

Addresses

Primary practice location

5055 Swamp Rd Ste 202
Fountainville, PA 18923-9655

Mailing address

PO Box 159
Fountainville, PA 18923-0159
Phone (267) 421-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001239 PA Practitioner - Clinical Social Worker 7416142062 Practice locations: Fountainville, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5055 Swamp Rd
Suite 202
Fountainville, PA 18923-9655
Phone (267) 421-7921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC004497PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1548475007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189230159",
            "telephone_number": "267-421-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 SWAMP RD STE 202",
            "city": "FOUNTAINVILLE",
            "state": "PA",
            "postal_code": "189239655",
            "telephone_number": "267-421-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTOR",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DSW, MSW, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004497",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountainville, PA

Sources for this page

Verify at the official NPI Registry.