Provider Demographics
NPI:1609310754
Name:DOTSON, CAROL LOIS (MSSW)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:LOIS
Last Name:DOTSON
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 BRANHAM HUGHES CIR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-2623
Mailing Address - Country:US
Mailing Address - Phone:931-486-2274
Mailing Address - Fax:931-486-1231
Practice Address - Street 1:804 BRANHAM HUGHES CIR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-2623
Practice Address - Country:US
Practice Address - Phone:931-486-2274
Practice Address - Fax:931-486-1231
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical