DOLORES DUFFY TAVARES (LICSW) – Clinical Social Worker, NPI 1346497054

DOLORES DUFFY TAVARES (LICSW) is a healthcare provider. based in Foster, Rhode Island. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. ISW02456 (RI). The NPI Number for DOLORES DUFFY TAVARES (LICSW) is 1346497054

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DOLORES DUFFY TAVARES (LICSW)
NPI
1346497054
Phone
(019) 545-3354
Address
26 T PARKER RD
Enumeration Date
25 August 2008
Last Update Date
7 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016487172
Graduation Year
2002 (24 years ago)
PAC ID
2769600592
Group Practice PAC ID
7113302282
Professional Enrollment ID
I20230616002480
Address ID
MA021223641BO50XXXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

2,153 CLINICAL SOCIAL WORKER in CT

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Provider Addresses for DOLORES DUFFY TAVARES (LICSW)

  • 26 T PARKER RD

    FOSTER, RI 028251518

    Phone: (019) 545-3354

    Type: Mailing

  • North Main Street, Killingly Center, Dayville, Killingly, Windham County, Connecticut, 06241, United States

    DAYVILLE, CT 062412170

    Phone: (860) 774-2020

    Fax: (607) 740-8268

    Type: Location

  • 845 N Main St Ste L1B

    Providence, RI 029045775

    Phone: (508) 679-5222

    Fax: (508) 673-3182

    Type: Location

  • 386 STANLEY ST

    FALL RIVER, MA 027206009

    Phone: (508) 679-5222

    Fax: (508) 673-3182

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140820001105IClinical Social WorkerRITBD
I20230616002480IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113302282View full group profile
NameSpecialtyState
Mental Health CounselorNY
Nurse PractitionerMS
Nurse PractitionerMA
Nurse PractitionerRI
Nurse PractitionerRI
Clinical PsychologistMD
Nurse PractitionerMA

Reviews

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Frequently asked questions

How do payers reference DOLORES DUFFY TAVARES (LICSW)?
For DOLORES DUFFY TAVARES (LICSW), use NPI 1346497054 as the unique 10-digit identifier.
Is DOLORES DUFFY TAVARES (LICSW) still an active registrant?
DOLORES DUFFY TAVARES (LICSW) carries an active NPI according to the public dataset.
What clinical focus is listed for DOLORES DUFFY TAVARES (LICSW)?
At a glance, DOLORES DUFFY TAVARES (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with DOLORES DUFFY TAVARES (LICSW)?
Directory geography for DOLORES DUFFY TAVARES (LICSW) centers on Foster, Rhode Island.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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