Individual provider Active NPI

Lenora Dotson, LSW

  • Social Worker
  • Canton, OH
National Provider Identifier
1790284842
Registry record updated Nov 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.0900521 Issued in OH
Practice address
2540 Maxine Ave NE
Canton, OH 44705-3658
Phone
(336) 340-2986
NPI assigned
Feb 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Social Worker 104100000X S0900521 OH
Social Worker 104100000X S.0900521 OH Primary

Addresses

Primary practice location

2540 Maxine Ave NE
Canton, OH 44705-3658

Mailing address

2540 Maxine Ave NE
Canton, OH 44705-3658
Phone (336) 340-2986

Other practice location 1

2540 Maxine Ave NE
Canton, OH 44705-3658
Phone (336) 340-2986

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.0900521OHMDSocial Worker
S0900521OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Grove, LLC Social Worker PastSince Apr 1, 2024 Accepting new patients
Wellness Grove LLC Social Worker PastSince Jul 21, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1517788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1790284842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 MAXINE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053658",
            "telephone_number": "336-340-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 MAXINE AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053658",
            "telephone_number": "336-340-2986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 Maxine Ave NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447053658",
            "country_code": "US",
            "telephone_number": "336-340-2986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "LENORA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-05",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0900521",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.0900521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; 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.