Individual provider Active NPI

Doreen Elizabeth Cahill, LMSW, CAADC

  • Social Worker
  • Shelby TWP, MI
National Provider Identifier
1780859769
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801091513 Issued in MI
Practice address
12955 23 Mile Rd
Shelby TWP, MI 48315-2707
Phone
(586) 659-9540
NPI assigned
Apr 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801091513 MI
Mental Health Counselor 101YM0800X SW11519 FL
Social Worker 104100000X 6801091513 MI Primary

Addresses

Primary practice location

12955 23 Mile Rd
Shelby TWP, MI 48315-2707

Mailing address

11630 Hiawatha Dr
Shelby Township, MI 48315-1237
Phone (586) 659-9540

Other practice location 1

1255 N Oakland Blvd
Waterford, MI 48327-1582
Phone (248) 406-0090

Other practice location 2

4400 N Federal Hwy Ste 210
Boca Raton, FL 33431-5195
Phone (561) 676-0293

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

LicenseStateTypeSpecialty
6801091513MIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1780859769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11630 HIAWATHA DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151237",
            "telephone_number": "586-659-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 23 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483152707",
            "telephone_number": "586-659-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 N Oakland Blvd",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483271582",
            "country_code": "US",
            "telephone_number": "248-406-0090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 N Federal Hwy Ste 210",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334315195",
            "country_code": "US",
            "telephone_number": "561-676-0293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "DOREEN",
        "middle_name": "ELIZABETH",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801091513",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW11519",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801091513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.