Individual provider Active NPI

Dorothy Katherine Ohalloran, MSW LICSW

  • Clinical Social Worker
  • S Yarmouth, MA
National Provider Identifier
1972564862
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW104907 Issued in MA
Practice address
23A Whites Path
S Yarmouth, MA 02664-1211
Phone
(508) 540-9292
NPI assigned
Mar 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X SW104907 MA
Clinical Social Worker 1041C0700X SW104907 MA Primary

Addresses

Primary practice location

23A Whites Path
S Yarmouth, MA 02664-1211

Mailing address

PO Box 1116
Dennis, MA 02638-6116
Phone (508) 540-9292

Other names 1

  • Dot Ohalloran Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040122000237 MA Practitioner - Clinical Social Worker 5395647218 Practice locations: Falmouth, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

184 Jones Rd
Falmouth, MA 02540-2959
Phone (508) 540-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW104907MAMDPsychologist
104907MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1972564862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1116",
            "city": "DENNIS",
            "state": "MA",
            "postal_code": "026386116",
            "telephone_number": "508-540-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23A WHITES PATH",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026641211",
            "telephone_number": "508-540-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHALLORAN",
        "first_name": "DOROTHY",
        "middle_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "SW104907",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "SW104907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DOT",
            "last_name": "OHALLORAN",
            "credential": "MSW LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in S Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.