Healthcare Provider Details

I. General information

NPI: 1396876132
Provider Name (Legal Business Name): KALPANA C DOSHI MSW, ACSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 EAGLE LN
READING PA
19607-3303
US

IV. Provider business mailing address

31 EAGLE LN
READING PA
19607-3303
US

V. Phone/Fax

Practice location:
  • Phone: 610-775-7570
  • Fax:
Mailing address:
  • Phone: 610-775-7570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW012884
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1507756
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier800002815
Identifier TypeOTHER
Identifier State
Identifier IssuerRAILROAD MEDICARE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: