Katharine Stabler Dorman in Plymouth - Clinical

Katharine Stabler Dorman - NPI 1114140613

Katharine Stabler Dorman is a Clinical in Plymouth, Massachusetts. Katharine Stabler Dorman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Katharine Stabler Dorman is 1114140613. The last update date is 2012-03-19.

Katharine Stabler Dorman's current location address is 2 School St, Plymouth, Massachusetts. You can contact this provider via phone number 5088301234. The mailing address for Katharine Stabler Dorman is 2 School St, Plymouth, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Katharine Stabler Dorman
Address 2 School St, Plymouth, Massachusetts
Phone Number 5088301234
Fax Number
Sole Proprietor Y
Credentials LICSW

NPI Number Detail

NPI Number 1114140613
Provider Enumeration Date 2007-04-11
Last Updated Date 2012-03-19

Provider Mailing Address Detail

Address 2 School St
City Plymouth
State Massachusetts (MA)
Post Code 23603964
Phone Number 5088301234
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 103960
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0000P03798 MA BCBS

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FAQs about Katharine Stabler Dorman

What is the unique identification code assigned to Katharine Stabler Dorman by the Centers for Medicare & Medicaid Services?

The Katharine Stabler Dorman has been issued the NPI (National Provider Identifier) 1114140613. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Katharine Stabler Dorman is located?

The Katharine Stabler Dorman is situated at the following address: 2 School St, Plymouth, MA, 23603964.

What is Katharine Stabler Dorman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Katharine Stabler Dorman is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.

When did Katharine Stabler Dorman receive its 1114140613 assignment?

The Katharine Stabler Dorman was assigned its 1114140613 on 2007-04-11, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Katharine Stabler Dorman most recently updated or revised?

The information pertaining to Katharine Stabler Dorman, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-19.

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