1811035868 NPI number — MRS. CAROLE A DOORLEY L.C.S.W.

Table of content: MRS. CAROLE A DOORLEY L.C.S.W. (NPI 1811035868)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811035868 NPI number — MRS. CAROLE A DOORLEY L.C.S.W.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOORLEY
Provider First Name:
CAROLE
Provider Middle Name:
A
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
L.C.S.W.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811035868
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/16/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1502 W NC HIGHWAY 54
Provider Second Line Business Mailing Address:
STE 103
Provider Business Mailing Address City Name:
DURHAM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27707-5572
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
908-232-2052
Provider Business Mailing Address Fax Number:
908-232-8809

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21 E HIGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERVILLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08876-2320
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
908-927-9955
Provider Business Practice Location Address Fax Number:
908-232-8809
Provider Enumeration Date:
02/02/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SC04537400 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com