Provider Demographics
NPI:1659785251
Name:DODSON, ROBBIE MOTES (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBBIE
Middle Name:MOTES
Last Name:DODSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 OVERBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN BRK
Mailing Address - State:AL
Mailing Address - Zip Code:35213-4332
Mailing Address - Country:US
Mailing Address - Phone:205-824-8320
Mailing Address - Fax:205-824-8320
Practice Address - Street 1:540 HUGHES RD STE 10A
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8936
Practice Address - Country:US
Practice Address - Phone:256-631-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1508C1041C0700X
AL1508-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical