Provider Demographics
NPI:1578631578
Name:DOWDALL, KERRI LEIGH (MSW LICSW)
Entity Type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:LEIGH
Last Name:DOWDALL
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 ORCHARD STREET
Mailing Address - Street 2:
Mailing Address - City:RAYNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02767-1378
Mailing Address - Country:US
Mailing Address - Phone:508-880-0464
Mailing Address - Fax:
Practice Address - Street 1:145 FAIRHAVEN RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1460
Practice Address - Country:US
Practice Address - Phone:508-715-3861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1143371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical