Provider Demographics
NPI:1922615863
Name:BROCKINGTON, DOROTHY ELAINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:ELAINE
Last Name:BROCKINGTON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:DOROTHY
Other - Middle Name:ELAINE
Other - Last Name:BROCKINGTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW
Mailing Address - Street 1:3400 WHEELER RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-4137
Mailing Address - Country:US
Mailing Address - Phone:202-544-2646
Mailing Address - Fax:
Practice Address - Street 1:3400 WHEELER RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-4137
Practice Address - Country:US
Practice Address - Phone:202-544-2646
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker