Provider Demographics
NPI:1205992658
Name:DOOLIN, WILLIAM MICHAEL (LCSW,LSCSW)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:MICHAEL
Last Name:DOOLIN
Suffix:
Gender:M
Credentials:LCSW,LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9237 WARD PKWY
Mailing Address - Street 2:SUITE 105
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3365
Mailing Address - Country:US
Mailing Address - Phone:816-523-2200
Mailing Address - Fax:816-523-0770
Practice Address - Street 1:9237 WARD PKWY
Practice Address - Street 2:SUITE 105
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3365
Practice Address - Country:US
Practice Address - Phone:816-523-2200
Practice Address - Fax:816-523-0770
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20010297111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical