Heather Layne Dolman, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

37796 Issued in ID

Practice address

709 Dearborn St
Caldwell, ID 83605-4116

Phone

(208) 376-7083

Fax

(208) 402-5604

NPI assigned

Jul 17, 2018

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

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1578049185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 FILLMORE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054127",
            "telephone_number": "740-644-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 DEARBORN ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054116",
            "telephone_number": "208-376-7083",
            "fax_number": "208-402-5604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLMAN",
        "first_name": "HEATHER",
        "middle_name": "LAYNE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "37796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.