Dolores Duffy Tavares, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LICSW122950 Issued in MA

Practice address

386 Stanley St
Fall River, MA 02720-6009

Phone

(508) 679-5222

Fax

(508) 673-3182

NPI assigned

Aug 25, 2008

Last updated

May 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Koann Therapeutic Services IncGroup PAC ID 7113302282, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dolores.tavares.p2@direct.sstar.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Koann Therapeutic Services Inc

  dba Revive Therapeutic Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1639843303

  MA

  Medicare reassignment Care Compare group NPD
• Stanley Street Treatment and Resources, Inc.

  • Substance Abuse Rehabilitation Facility
  • Fall River, MA
  • NPI 1689693343
  Medicare reassignment NPD
• Newport County Community Mental Health Center, Inc

  dba Newport Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Middletown, RI
  • NPI 1093713174
  Medicare reassignment NPD
• Stanley Street Treatment and Resources, Inc

  dba Sstar Integrated Health Services Center

  • Federally Qualified Health Center (FQHC)
  • Fall River, MA
  • NPI 1932838513
  NPD
• Koann Therapeutic Services Inc

  dba Revive Therapeutic Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Providence, RI
  • NPI 1629861224
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1346497054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 STANLEY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027206009",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "845 N Main St Ste L1B",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029045775",
            "country_code": "US",
            "telephone_number": "508-679-5222",
            "fax_number": "508-673-3182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVARES",
        "first_name": "DOLORES",
        "middle_name": "DUFFY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02456",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW122950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tate Chiropractic & Rehab
• Gloria Tate
• Dawn Elizabeth Taunton, LAC
• Ashlyn Tavares, DPT
• Diane Tavares, COTA/L
• Helena Tavares, MSW, LICSW
• Jeffrey David Tavares, SLPA
• Julia Barabosa Tavares
• Katie Tavares, MSN, NP-C
• Latoya Tavares

• Clinical Social Worker in Fall River, MA
• Providers in Fall River, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.