Individual provider Active NPI

Jose Rafael Harrington Dooley, LICSW

  • Clinical Social Worker
  • West Saint Paul, MN
National Provider Identifier
1740805357
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26691 Issued in MN
Practice address
963 Robert St S
West Saint Paul, MN 55118-1446
Phone
(612) 886-4785
NPI assigned
Jun 9, 2020
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 26691 MN
Clinical Social Worker 1041C0700X 26691 MN Primary

Addresses

Primary practice location

963 Robert St S
West Saint Paul, MN 55118-1446

Mailing address

963 Robert St S
West Saint Paul, MN 55118-1446
Phone (612) 886-4785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240607003031 MN Practitioner - Clinical Social Worker 7315489127 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26691MNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Through Therapy Collective, Inc CurrentSince Mar 2, 2024 Accepting new patients

Locations

3217 Hennepin Ave
Ste 3
Minneapolis, MN 55408
Phone (612) 460-7098

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

Organizations & group practices 1

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1740805357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 ROBERT ST S",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181446",
            "telephone_number": "612-886-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 ROBERT ST S",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181446",
            "telephone_number": "612-886-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON DOOLEY",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "26691",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.