National Provider Identifier

Dora Tin, LCSW

Dora Tin, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (910) 332-5734.

NPI 1649700915Rochester, NYClinical Social Worker

Profile Overview

NPI
1649700915
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 19, 2017
Last Updated
June 16, 2024

Practice Location

  • 300 Crittenden Blvd
  • Rochester, NY 14642-5215

Phone: (910) 332-5734

Mailing Address

  • 211 S Centennial St
  • High Point, NC 27260-5215

Specialties

  • Clinical Social Worker (1041C0700X)
  • Clinical Social Worker (1041C0700X)
  • Social Worker (104100000X)
Full Record
NPI
1649700915
Entity Type
Individual
Last Name
Tin
First Name
Dora
Credential
LCSW
Mailing Street Address
211 S Centennial St
Mailing City
High Point
Mailing State
NC
Mailing ZIP Code
27260-5215
Mailing Country
US
Practice Street Address
300 Crittenden Blvd
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-5215
Practice Country
US
Practice Phone
(910) 332-5734
Enumeration Date
June 19, 2017
Last Updated
June 16, 2024
Sex
Female
Sole Proprietor
No
Certification Date
June 16, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X), Social Worker (104100000X)