Provider Demographics
NPI:1174650642
Name:DOHRMANN, CECILIA ANNAMARIA (LICSW)
Entity Type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:ANNAMARIA
Last Name:DOHRMANN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 AMES ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1824
Mailing Address - Country:US
Mailing Address - Phone:781-320-1927
Mailing Address - Fax:
Practice Address - Street 1:BROCKTON MULTI-SERVICE CENTER
Practice Address - Street 2:165 QUNICY STREET
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02302
Practice Address - Country:US
Practice Address - Phone:508-897-2177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10274421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical