Healthcare Provider Details

I. General information

NPI: 1346917390
Provider Name (Legal Business Name): FRANCESCA DORVILAS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2021
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13A IRON WORKS WAY
TRENTON NJ
08611-2859
US

IV. Provider business mailing address

13A IRON WORKS WAY
TRENTON NJ
08611-2859
US

V. Phone/Fax

Practice location:
  • Phone: 929-900-6402
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number098925-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06363600
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLISCW1120117
License Number StateMA
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number097391
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: