Provider Demographics
NPI:1265542575
Name:DORFLINGER, JOSEPH L (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:L
Last Name:DORFLINGER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7 MELANIE DR
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-5769
Mailing Address - Country:US
Mailing Address - Phone:518-584-8991
Mailing Address - Fax:518-584-8991
Practice Address - Street 1:35 BROAD ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-4302
Practice Address - Country:US
Practice Address - Phone:518-793-6212
Practice Address - Fax:518-793-6212
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY073328-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB5172Medicare UPIN