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Contact Information

CHRISTOPHER M DORVAL, LICSW
1524 ATWOOD AVE STE 244
JOHNSTON, RI02919-3228
 Phone: 401-626-0169
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for CHRISTOPHER M DORVAL · (Male)

NPI Number 1770849010
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 04/11/2012
Last updated 12/17/2020 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 17440
  • MA License # 224236
  • RI License # 200020
  • RI License # ISW02895
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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