Carol Joy Doubler, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1.0900013-S Issued in OH

Practice address

11634 Emerald Edge PL
Strongsville, OH 44136-4515

Phone

(440) 212-2761

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Rivendale Care

  • Home Health Agency
  • Strongsville, OH
  • NPI 1831233469
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1770714503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11634 EMERALD EDGE PL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441364515",
            "telephone_number": "440-212-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11634 EMERALD EDGE PL",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441364515",
            "telephone_number": "440-212-2761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12669 Webster Rd",
            "address_purpose": "LOCATION",
            "city": "Strongsville",
            "state": "OH",
            "postal_code": "441364527",
            "country_code": "US",
            "telephone_number": "440-846-1546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUBLER",
        "first_name": "CAROL",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I 0900013",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "1.0900013-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discount Drug Mart Inc (Discount Drug Mart)
• Docere Physicians Inc.
• Kristina Dodus, M.A. CCC/SLP
• Dominic W Tam MD & Rose CW Tam MD Inc
• Virginia Donelan
• Jennifer Marie Douglas
• Amy L Dowdy, LPCC
• Dr Ghanem & Associates LLC
• Dr Stacey a Hancock LLC
• Dr. George D. Poulos & Associates, Inc.

• Clinical Social Worker in Strongsville, OH
• Providers in Strongsville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.