Provider Demographics
NPI:1770471781
Name:MCLAIN, DOROTHY VALERIE (MSW)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:VALERIE
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:VALERIE
Other - Last Name:MCLAIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5503 MOON RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-5419
Mailing Address - Country:US
Mailing Address - Phone:706-562-4288
Mailing Address - Fax:
Practice Address - Street 1:5503 MOON RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-5419
Practice Address - Country:US
Practice Address - Phone:706-562-4288
Practice Address - Fax:706-562-4288
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor