MS. SUSAN DORAN (NPI# 1497119804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497119804 |
| Entity Type | Individual |
| Full Name | MS. SUSAN DORAN |
| Credential | LSW |
| Practice Address |
720 E. Alice Blackfoot ID 83221 |
| Mailing Address |
P. O. Box 129 Blackfoot ID 83221 |
| Practice Telephone | 2087855898 |
| Practice Fax Number | 2087855877 |
| Mailing Telephone | 2087855898 |
| Mailing Fax Number | 2087855877 |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LSW-518 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174795355 | Susan M Doran | Physical Therapist | 901 9th St N, Suite 100, Virginia, MN 55792-2325 | 2008-03-28 |
| Street Address |
720 E. ALICE |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| 1083809289 | Renal Treatment Centers West Inc | Clinic/Center | 1491 Parkway Drive, Blackfoot, ID 83221 | 2007-09-11 |
| Find all providers in zip 83221 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1174980205 | Yezenia Lora-salas | Social Worker | Rr 3 Box 288, Blackfoot, ID 83221-9792 | 2016-01-20 |
| 1255677076 | Brent Stanley Packer | Social Worker | 1190 York Dr, Blackfoot, ID 83221-3621 | 2012-12-26 |
| 1174656664 | J&m Mental Health, Inc. | Social Worker | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2007-03-13 |
| 1316409337 | Casandra Dayley Serr | Social Worker | 720 East Alice, Blackfoot, ID 83221 | 2019-04-01 |
| 1598224826 | Larry Christian Jones | Social Worker | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2019-03-16 |
| 1841654381 | Jennifer Joy De Mille | Social Worker | 720 East Alice, Blackfoot, ID 83221 | 2016-04-11 |
| 1306203468 | Still Waters Counseling LLC | Social Worker | 1309 Camas St, Blackfoot, ID 83221-3060 | 2016-01-20 |
| 1104236652 | Jodi Munson Phillips | Social Worker | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2014-05-06 |
| 1154731529 | Shanna Clayson | Social Worker | 150 S Broadway St, Blackfoot, ID 83221-2711 | 2014-05-06 |
| Find all providers in BLACKFOOT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.