Nicholas Clark Doolittle, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

116030 Issued in MA

Practice address

101 Brigham Hill Rd
Norwich, VT 05055-9576

Phone

(617) 864-8423

NPI assigned

Sep 18, 2008

Last updated

Sep 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 15, 2016 through Dec 15, 2026

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Unburdened Mind Counseling, Inc

  • Clinical Social Worker
  • Norwich, VT
  • NPI 1700507076
  NPD Authorized official

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1821247487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BRIGHAM HILL RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559576",
            "telephone_number": "617-864-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BRIGHAM HILL RD",
            "city": "NORWICH",
            "state": "VT",
            "postal_code": "050559576",
            "telephone_number": "617-864-8423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLITTLE",
        "first_name": "NICHOLAS",
        "middle_name": "CLARK",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "116030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia R Dale, PHD
• Maggie Jane Dervis, RDN
• Monica Jane Descamps, PH.D.
• Gerald W Doherty, PA-C
• Gosha Donnelly, PH.D.
• Elizabeth J. Ogden (Upper Valley Pilates and Physical Therapy)
• Festina Lente, PLLC
• Amy Fleischer, LICSW
• Paul Foster, LICSW
• Catherine Ann Foulk, APRN

• Clinical Social Worker in Norwich, VT
• Providers in Norwich, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.