Provider Demographics
NPI:1700365848
Name:MARCOTTE, DAVID HENRY (LCSW)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:HENRY
Last Name:MARCOTTE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:685 EMORY VALLEY RD STE C
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-7746
Mailing Address - Country:US
Mailing Address - Phone:865-482-9252
Mailing Address - Fax:865-482-7164
Practice Address - Street 1:685 EMORY VALLEY RD STE C
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-7746
Practice Address - Country:US
Practice Address - Phone:865-482-9252
Practice Address - Fax:865-482-7164
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN00000065751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical