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NPI Code Detail

MEDICARE: MS. VIVIAN ALINE DOLKART LICSW

MEDICARE: MS. VIVIAN ALINE DOLKART LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker107330MA
21041C0700XClinical Social Worker357NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154470615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VIVIAN ALINE DOLKART LICSW
Provider Business Mailing Address
First Line : 9 HANOVER ST
Second Line : SUITE 2
City : LEBANON
State : NH
Zip : 03766-1312
Country : US
Telephone Number : 603-448-0126
Fax Number : 603-448-0129
Provider Business Practice Location Address
First Line : 9 HANOVER ST
Second Line : SUITE 2
City : LEBANON
State : NH
Zip : 03766-1312
Country : US
Telephone Number : 603-448-0126
Fax Number : 603-448-0129
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2007
Last Update Date : 03/27/2008

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