William Paul Dodge, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.0025262 Issued in OH

Practice address

275 Martinel Dr
Kent, OH 44240-4380

Phone

(330) 673-6446

NPI assigned

Feb 23, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Bair Foundation

  • Developmental Disabilities Clinic/Center
  • Kent, OH
  • NPI 1922066224
  NPD (past)

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1992206080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 LAKEVIEW RD",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109513",
            "telephone_number": "330-979-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 MARTINEL DR",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442404380",
            "telephone_number": "330-673-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0025262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Discount Drug Mart Inc
• Lawrence Dixon
• Christina Doan, PHARMD
• Angela Maria Dobbins-Rivera, LPN
• Nancy Marsh Docherty, PH.D.
• Diane Marie Dolbow, LPN
• Mildred Louise Domnie
• Kristin Lee Donaldson
• Jelani Dorsey
• Katrina Lynn Dotterweich

• Clinical Social Worker in Kent, OH
• Providers in Kent, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.