Mary S Dodge, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000576 Issued in DE

Practice address

406 S Bedford St
Ste 9
Georgetown, DE 19947-1850

Phone

(302) 856-9578

Fax

(302) 856-6297

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Sturges Dodge, LCSW, P.a.

  • Clinical Social Worker
  • Rehoboth Beach, DE
  • NPI 1326175613
  NPD (past) Authorized official
• Catholic Charities Inc

  • Mental Health Counselor
  • Wilmington, DE
  • NPI 1033142617

  Clinical

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284940800000",
    "number": "1811009954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 W 4TH ST",
            "address_2": "P.O. BOX 2610",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S BEDFORD ST",
            "address_2": "STE 9",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471850",
            "telephone_number": "302-856-9578",
            "fax_number": "302-856-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023538",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Delaware Sleep Disorder Centers, LLC
• Delmarva Medical Staffing
• Brittany Dennis
• Edda E Didonato, FAMILY NP
• Phyllis Yvonne Dodd, LCSW
• Taylor M Domann, RDN
• Nicholas A Donati, MSCCCSLP
• Doris Donaway
• Lorren Michael Donmoyer, M.D.
• David Dowling

• Clinical Social Worker in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; 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.