Individual provider Active NPI

Dave Dorvilier

  • Clinical Social Worker
  • Salem, MA
National Provider Identifier
1801209820
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
119428 Issued in MA
Practice address
204 Lafayette St
Salem, MA 01970-4721
Phone
(617) 651-1735
NPI assigned
Jun 6, 2014
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 119428 MA Primary

Addresses

Primary practice location

204 Lafayette St
Salem, MA 01970-4721

Mailing address

204 Lafayette St
Salem, MA 01970-4721
Phone (617) 651-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119428MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharing Again Counseling LLC Clinical Current Accepting new patients

Locations

204 Lafayette St
Salem, MA 01970
Phone (978) 744-5006

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1801209820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704721",
            "telephone_number": "617-651-1735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LAFAYETTE ST",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704721",
            "telephone_number": "617-651-1735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVILIER",
        "first_name": "DAVE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "119428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.