Provider Demographics
NPI:1265663579
Name:D'ORSI, KATHLEEN B (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:B
Last Name:D'ORSI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:329 CARTERET AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-2150
Mailing Address - Country:US
Mailing Address - Phone:732-541-7423
Mailing Address - Fax:732-969-0138
Practice Address - Street 1:167 MAIN ST
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2771
Practice Address - Country:US
Practice Address - Phone:732-548-7447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046328001041C0700X
FLSW90151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical