Lisa Dorval, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

115740-1 Issued in MA

Practice address

873 Turnpike St
Somers Trust Psychological
North Andover, MA 01845-6152

Phone

(978) 688-8004

Fax

(978) 686-8554

NPI assigned

May 24, 2016

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

Practice roles

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.

• Somers Trust

  • Psychologist
  • North Andover, MA
  • NPI 1578637740
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1851748404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 TURNPIKE ST.",
            "address_2": "SOMERS TRUST PSYCHOLOGICAL",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-688-8004",
            "fax_number": "978-686-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 TURNPIKE ST",
            "address_2": "SOMERS TRUST PSYCHOLOGICAL",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456152",
            "telephone_number": "978-688-8004",
            "fax_number": "978-686-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORVAL",
        "first_name": "LISA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115740-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Anne Doherty, OTR
• Alexander Stephen Domingos
• Christopher James Donahue, MSW
• Barbara Ann Donovan, RN
• Carla R Dorsey, MS,CCC-SLP
• Kenneth R Dovidio, PA
• Scott Joseph Dowd, M.D.
• Dr. David S. Metsch and Associates
• Dr. Emma Wu and Associates
• Linda McGovern Drosdek, MS CCC-SLP

• Clinical Social Worker in North Andover, MA
• Providers in North Andover, 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 24, 2016; 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.