KATHARINE STABLER DORMAN LICSW
NPI 1114140613
Social Worker - Clinical in Plymouth, MA

Q: What is Katharine Stabler Dorman's NPI number?

The NPI number for Katharine Stabler Dorman is 1114140613. It was assigned to this individual provider in the NPPES registry on April 11, 2007.

Q: What is Katharine Stabler Dorman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: Is Katharine Stabler Dorman enrolled in Medicare?

No. Katharine Stabler Dorman has opted out of Medicare through October 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 11, 2007Opted out of Medicare · through Oct 13, 2027

2 SCHOOL ST, PLYMOUTH, MA 02360(508) 830-1234 Get Directions Write a Review

NPPES record last updated: March 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Katharine Stabler Dorman Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHARINE STABLER DORMAN LICSW (NPI 1114140613) is an individual clinical provider in Plymouth, Massachusetts, licensed in Massachusetts (103960) and active in the NPI registry since April 2007. She has opted out of Medicare through October 13, 2027.

NPPES Registry Identity

NPI1114140613

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKATHARINE STABLER DORMANCredential: LICSW

Location Address2 SCHOOL STPlymouth, MA 02360-3964

Mailing Address2 School StPlymouth, MA 02360-3964 · (508) 830-1234

Phone(508) 830-1234

Sole ProprietorYes

Enumeration DateApril 11, 2007

Last NPPES UpdateMarch 19, 2012

✔ NPI 1114140613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MA · 103960

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2 SCHOOL ST, Plymouth, MA 02360

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Other Identifiers 1

Other0000P03798MA · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katharine Stabler Dorman Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 13, 2021 through October 13, 2027.

Opt-Out Effective DateOctober 13, 2021

Opt-Out In Effect ThroughOctober 13, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RACHAEL MOHAN

Counselor