Provider Demographics
NPI:1336295609
Name:GARRETT, DOROTHY LOUISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:LOUISE
Last Name:GARRETT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 STONY POINTE WAY
Mailing Address - Street 2:SUITE 221
Mailing Address - City:STRASBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22657-2670
Mailing Address - Country:US
Mailing Address - Phone:540-465-4441
Mailing Address - Fax:540-465-4439
Practice Address - Street 1:105 STONY POINTE WAY
Practice Address - Street 2:SUITE 221
Practice Address - City:STRASBURG
Practice Address - State:VA
Practice Address - Zip Code:22657-2670
Practice Address - Country:US
Practice Address - Phone:540-465-4441
Practice Address - Fax:540-465-4439
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040048731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA184328OtherANTHEM
VA084566OtherCOMMUNITY HEALTH