Active NPI
Carol A. Doman, LMSW, BCD, LMFT
- Clinical Social Worker
- Saginaw, MI
National Provider Identifier
1891775839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801012277
- Practice address
- 10294 Lakewood Dr
Saginaw, MI 48609-9702 - Phone
- (989) 781-5606
- Fax
- (989) 781-5663
- NPI assigned
- Jan 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801012277 | MI | Primary |
Addresses
Primary practice location
10294 Lakewood Dr
Saginaw, MI 48609-9702
Mailing address
10294 Lakewood Dr
Saginaw, MI 48609-9702
Phone (989) 781-5606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100329000132 | MI | Practitioner - Clinical Social Worker | 1759417843 | Practice locations: Saginaw, MI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801012277 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891775839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10294 LAKEWOOD DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486099702",
"telephone_number": "989-781-5606",
"fax_number": "989-781-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10294 LAKEWOOD DR",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486099702",
"telephone_number": "989-781-5606",
"fax_number": "989-781-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMAN",
"first_name": "CAROL",
"middle_name": "A.",
"credential": "LMSW, BCD, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801012277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.