Provider Demographics
NPI:1164634473
Name:NOLD, DOROTHY JEANNE (MA MSW)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:JEANNE
Last Name:NOLD
Suffix:
Gender:F
Credentials:MA MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BROOKS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:NH
Mailing Address - Zip Code:03241
Mailing Address - Country:US
Mailing Address - Phone:603-744-7941
Mailing Address - Fax:603-744-7941
Practice Address - Street 1:300 MAIN ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PLYMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03264-4518
Practice Address - Country:US
Practice Address - Phone:603-536-1933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW62291041C0700X
NH13481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9270OtherBLUE CROSS BLUE SHIELD FL