Christopher M Dorval, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW02895 Issued in RI

Practice address

1524 Atwood Ave Ste 244
Johnston, RI 02919-3228

Phone

(401) 626-0169

NPI assigned

Apr 11, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Ocean State Behavioral Health, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Johnston, RI
  • NPI 1508462128

  RI

  Medicare reassignment NPD Authorized official
• Emory Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Attleboro, MA
  • NPI 1841958303
  NPD Authorized official
• Triad Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Winston Salem, NC
  • NPI 1023976669
  NPD

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1770849010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 EMERALD WAY",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028572860",
            "telephone_number": "401-626-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 ATWOOD AVE STE 244",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029193228",
            "telephone_number": "401-626-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVAL",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "17440",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "RI",
            "license": "200020",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "224236",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dionisi, MASTERS
• Marcie E Diorio, LICSW
• Jessica Marie Dirocco, APRN, FNP-BC
• Lee Disalvia McWeeney
• David Dixon, PT
• Margo Hayden Douglas, M.S. CCC-SLP
• Michael Doxzon, LMHC-A
• Dyann Lynn Dragon
• Stephanie Drainville, PA-C
• Benjamin Drezek

• Clinical Social Worker in Johnston, RI
• Providers in Johnston, RI by specialty
• Clinical Social Worker in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.