Provider Demographics
NPI:1235106139
Name:SIMCOX, DOROTHY T (CSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:T
Last Name:SIMCOX
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12564 POST CREEK PL
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5250
Mailing Address - Country:US
Mailing Address - Phone:301-528-6141
Mailing Address - Fax:202-543-4476
Practice Address - Street 1:530 7TH ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2768
Practice Address - Country:US
Practice Address - Phone:202-543-4645
Practice Address - Fax:202-543-4645
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC301815104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCLC301815OtherLICSW
MD06852OtherLCSW
DCLC301815OtherLICSW