Provider Demographics
NPI:1013753805
Name:DOVETAIL COUNSELING GROUP
Entity type:Organization
Organization Name:DOVETAIL COUNSELING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ALVA
Authorized Official - Last Name:SCIARRETTA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:908-837-1251
Mailing Address - Street 1:52 W MAIN ST STE 21A
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-2233
Mailing Address - Country:US
Mailing Address - Phone:908-837-1251
Mailing Address - Fax:
Practice Address - Street 1:52 W MAIN ST STE 21A
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08876-2233
Practice Address - Country:US
Practice Address - Phone:908-837-1251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-02
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty