Provider Demographics
NPI:1649753336
Name:SCOTTEN, DOROTHY (LICSW)
Entity Type:Individual
Prefix:DR
First Name:DOROTHY
Middle Name:
Last Name:SCOTTEN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 DRUMMER RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-5211
Mailing Address - Country:US
Mailing Address - Phone:978-263-9074
Mailing Address - Fax:
Practice Address - Street 1:50 DRUMMER RD
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-5211
Practice Address - Country:US
Practice Address - Phone:978-263-9074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1057061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical