Healthcare Provider Details

I. General information

NPI: 1134906555
Provider Name (Legal Business Name): ANTHONY DOTI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2756 POST RD # 103
WARWICK RI
02886-3077
US

IV. Provider business mailing address

214 FIAT AVE
CRANSTON RI
02910-2511
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-1338
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW02761
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: