Dorene P Fick LCSW LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0904006769 Issued in VA

Legal business name

DORENE P FICK LCSW LLC

Practice address

1409 Grandin Rd SW
Roanoke, VA 24015-2317

Phone

(540) 225-2835

Fax

(540) 339-7235

NPI assigned

Sep 5, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Dorene P Fick, LCSWNPI 1548479892

Title

LCSW

Phone

(540) 597-8512

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorene P. Fick, LCSW-R

  • Clinical Social Worker
  • Roanoke, VA
  • NPI 1548479892
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1871075978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 N MILL RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241532912",
            "telephone_number": "540-597-8512",
            "fax_number": "540-337-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 GRANDIN RD SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152317",
            "telephone_number": "540-225-2835",
            "fax_number": "540-339-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORENE P FICK LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "FICK",
        "authorized_official_first_name": "DORENE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "540-597-8512",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0904006769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Ann Dooley, RN, IBCLC
• Richard W Dooley, P.A.
• Thomas Doolittle, MD
• Marisa Leigh Doran, MD
• Dorcus Home, LLC
• Christina Dawn Dormstetter-O'Keefe, LPC
• Mark Dorsey
• Neil K. Dorsey, M.D.
• Susan B Dorsey, M.D.
• Sarah H Doss, M.S., CCC-SLP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.