Basic Information
| Provider Information | |||||||||
| NPI: | 1063403954 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOLAN | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | LICSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 75 WASHINGTON STREET | ||||||||
| Address2: | |||||||||
| City: | NORWELL | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020619147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7818785200 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5 TARKILN RD | ||||||||
| Address2: | |||||||||
| City: | KINGSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023641250 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7815852200 | ||||||||
| FaxNumber: | 7815851784 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2005 | ||||||||
| LastUpdateDate: | 01/10/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 105413 | MA | Y | Behavioral Health & Social Service Providers | Social Worker |
ID Information
| ID | Type | State | Issuer | Description | 042297845 | 01 | MA | GIC UNICARE | OTHER | 042297845 | 01 | MA | PRIVATE HEALTHCARE SYSTEM | OTHER | 409555 | 01 | MA | TUFTS MEDICARE PREFERRED | OTHER | 042297845 | 01 | MA | HCVM | OTHER | 2590284 | 01 | MA | AETNA | OTHER | 1005715 | 01 | MA | NHP | OTHER | 2040553 | 01 | MA | CIGNA | OTHER | 042297845 | 01 | MA | UNITED HEALTH CARE | OTHER | 042297845 | 01 | MA | GREAT WEST HEALTH CARE | OTHER | 409555 | 01 | MA | TUFTS | OTHER | A006219 | 01 | MA | HARVARD PILGRIM | OTHER | 042297845 | 01 | MA | DOC FIRST | OTHER | 042297845 | 01 | MA | TRICARE | OTHER | P03691 | 01 | MA | BCBS | OTHER |