Individual provider Active NPI

Nicole Hawkins-Doozan, LMSW, CAADC, ADS

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1720478688
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108389 Issued in MI
Practice address
2803 Weiss St
Saginaw, MI 48602-3560
Phone
(989) 220-1204
NPI assigned
Jan 30, 2015
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 6801095993 MI
Social Worker 104100000X 6801095993 MI
Clinical Social Worker 1041C0700X 6801108389 MI Primary

Addresses

Primary practice location

2803 Weiss St
Saginaw, MI 48602-3560

Mailing address

2803 Weiss St
Saginaw, MI 48602-3560
Phone (517) 402-0913

Other practice location 1

508 Shattuck Rd
Saginaw, MI 48604-2329
Phone (517) 752-7867

Other practice location 2

632 N Shiawassee St
Owosso, MI 48867-2232
Phone (989) 723-0330

Other names 1

  • Nicole Doozan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20201109002067 MI Practitioner - Clinical Social Worker 1254741945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consumer Services, Inc.Group PAC ID 0840214789, 10 clinicians

Practice addresses (Care Compare)

632 N Shiawasse
Owosso, MI 48867-2232
Phone (989) 723-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095993MIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Consumer Services, Inc. Addiction (Substance Use Disorder) CurrentSince Nov 5, 2020 Accepting new patients
Consumer Services, Inc. Clinical CurrentSince Nov 5, 2020 Accepting new patients

Locations

525 Okemos St
Mason, MI 48854
Phone (517) 833-8100

632 N Shiawassee St
Owosso, MI 48867
Phone (989) 723-0330

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1720478688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023560",
            "telephone_number": "517-402-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 WEISS ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023560",
            "telephone_number": "989-220-1204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Shattuck Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042329",
            "country_code": "US",
            "telephone_number": "517-752-7867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 N Shiawassee St",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672232",
            "country_code": "US",
            "telephone_number": "989-723-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAWKINS-DOOZAN",
        "first_name": "NICOLE",
        "credential": "LMSW, CAADC, ADS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6801095993",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095993",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DOOZAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.