Active NPI
Michael Craig Doolen, LCSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1649232208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C001641
- Practice address
- 138 Presidents Dr
Durham, NC 27704-2168 - Phone
- (910) 322-3925
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C001641 | NC | Primary |
Addresses
Primary practice location
138 Presidents Dr
Durham, NC 27704-2168
Mailing address
138 Presidents Dr
Durham, NC 27704-2168
Phone (910) 322-3925
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6106254 | Medicaid | NC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C001641 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308614400000",
"number": "1649232208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 PRESIDENTS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042168",
"telephone_number": "910-322-3925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 PRESIDENTS DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042168",
"telephone_number": "910-322-3925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLEN",
"first_name": "MICHAEL",
"middle_name": "CRAIG",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2011-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C001641",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6106254",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.