Marie Suze Dormena-Desravine, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0678681 Issued in NY

Practice address

1056 E 84TH St
Brooklyn, NY 11236-4228

Phone

(718) 531-3947

NPI assigned

Jul 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1821297599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 E 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364228",
            "telephone_number": "718-531-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E 84TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112364228",
            "telephone_number": "718-531-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORMENA-DESRAVINE",
        "first_name": "MARIE",
        "middle_name": "SUZE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0678681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rina M. Dorley-Amos
• Lia Dorman-Melgar, M.S.ED
• Bella Dorman, PSY.D
• Gisele Dorman, M.S. ED
• Toniann Dorme
• Eskett Orilla Dormer
• Guerline Dormetis
• Djoulie Melanie Dormeus
• Emilio Dormeus
• Rose Judith Dormeus

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.