Individual provider Active NPI

Kevin Dobson, LCSW

  • Clinical Social Worker
  • Terre Haute, IN
National Provider Identifier
1891753570
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34004034 Issued in IN
Practice address
2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239
Phone
(812) 232-2144
Fax
(812) 234-4598
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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 34004034 IN Primary

Addresses

Primary practice location

2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239

Mailing address

2901 Ohio Blvd
Suite 202
Terre Haute, IN 47803-2239
Phone (812) 232-2144

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
34004034INMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1891753570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 202",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-232-2144",
            "fax_number": "812-234-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OHIO BLVD",
            "address_2": "SUITE 202",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478032239",
            "telephone_number": "812-232-2144",
            "fax_number": "812-234-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "KEVIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.