Individual provider Active NPI

Emily Marie Dooley, LCSW

  • Clinical Social Worker
  • Cheshire, CT
National Provider Identifier
1891529244
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0014286 Issued in CT
Practice address
680 S Main St # LL2
Cheshire, CT 06410-3181
Phone
(203) 699-2024
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0014286 CT Primary

Addresses

Primary practice location

680 S Main St # LL2
Cheshire, CT 06410-3181

Mailing address

265 Farm Meadow LN
Cheshire, CT 06410-4247
Phone (203) 907-5575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122001847 CT Practitioner - Clinical Social Worker 9335674696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0014286CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rushford Center, Inc. Clinical CurrentSince Sep 19, 2024 Accepting new patients

Locations

680 S Main St
Lowr 2
Cheshire, CT 06410
Phone (203) 238-1241

680 S Main St
Cheshire, CT 06410
Phone (203) 272-3595

883 Paddock Ave
Meriden, CT 06450
Phone (203) 630-5220

Organizations & group practices 1

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1891529244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 FARM MEADOW LN",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104247",
            "telephone_number": "203-907-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S MAIN ST # LL2",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103181",
            "telephone_number": "203-699-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "0014286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

Verify at the official NPI Registry.