Individual
SARA E FINE-DORSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,BSW,LMSW
Contact information
Practice address
141 E MAIN ST, WATERBURY CLINICAL SERVICES, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Mailing address
141 E MAIN ST, 4TH FLOOR ADMINISTRATION, WATERBURY, CT 06702-2310
(203) 574-9000
(203) 574-9006
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2194
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008062531
—
CT
01
—
060669107
UBH-OXFORD FREEDOM/LIBERTY -WELLMORE GRP/FACILITY
CT
01
—
13671434
CAQH
CT
01
—
D339209-WATERBURY
VALLUE OPTIONS
CT
01
—
NOT ELIGIBLE
MHN-MANAGED HEALTH NETWORK
CT
01
—
PENDING
AETNA BEHAVIORAL HEALTH
CT
Enumeration date
10/08/2015
Last updated
08/25/2016
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