Individual provider · Type 1 NPI

Edward Dovlatyan

Clinical Social Worker · Bloomfield, NJ

NPI number 1124629555 Active

Practice location

30 Farrand St
Bloomfield, NJ 07003-4397

Call (973) 878-4927 Map

Mailing address

111 Town Square Pl Ste 1238
Jersey City, NJ 07310-1810

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06272600 (NJ)
Clinical Social Worker 1041C0700X098408-01 (NY)

Clinical Social Worker: 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 interpers…

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About NPI 1124629555

Edward Dovlatyan's National Provider Identifier is 1124629555, issued on Nov 3, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Bloomfield, NJ. The record was last updated on Mar 10, 2026.