Provider Demographics
NPI:1134194723
Name:TRIPLETT-FITTS, LOTTIE L (MSW)
Entity type:Individual
Prefix:MS
First Name:LOTTIE
Middle Name:L
Last Name:TRIPLETT-FITTS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PUGET SOUND HEALTH CARE - AMERICAN LAKE
Mailing Address - Street 2:9600 VETERANS DRIVE SW
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98493-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:MADIGAN ARMY MEDICAL CENTER
Practice Address - Street 2:MCHJ/SW
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-0001
Practice Address - Country:US
Practice Address - Phone:253-968-2303
Practice Address - Fax:253-968-2303
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-30421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical