Individual provider Active NPI

Dora A Woodworth, LMSW

  • Clinical Social Worker
  • Adrian, MI
National Provider Identifier
1962700542
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801070787 Issued in MI
Practice address
142 E Maumee St
Suite 3
Adrian, MI 49221-2735
Phone
(517) 403-3728
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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 6801070787 MI Primary

Addresses

Primary practice location

142 E Maumee St
Suite 3
Adrian, MI 49221-2735

Mailing address

3564 Glenn Hill Hwy
Manitou Beach, MI 49253-9720
Phone (517) 403-3728

Other names 1

  • Dora A Cortez Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110425000199 MI Practitioner - Clinical Social Worker 4385829027 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 S Main St
Suite 4
Adrian, MI 49221-3215
Phone (517) 403-3728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801070787MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cortez and Associates Clinical CurrentSince Apr 12, 2011 Accepting new patients

Locations

604 S Main St
Ste 4
Adrian, MI 49221
Phone (517) 403-3728

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

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": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1962700542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3564 GLENN HILL HWY",
            "city": "MANITOU BEACH",
            "state": "MI",
            "postal_code": "492539720",
            "telephone_number": "517-403-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E MAUMEE ST",
            "address_2": "SUITE 3",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212735",
            "telephone_number": "517-403-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "DORA",
        "middle_name": "A",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801070787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORA",
            "last_name": "CORTEZ",
            "middle_name": "A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Adrian, MI

Sources for this page

Verify at the official NPI Registry.