Provider Demographics
NPI:1134384373
Name:HASKELL, DOROTHY ROSE DENNY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ROSE DENNY
Last Name:HASKELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:ROSE
Other - Last Name:DENNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1 UNIVERSITY BLVD
Mailing Address - Street 2:KATHY J. WEINMAN BUILDING
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-4400
Mailing Address - Country:US
Mailing Address - Phone:314-516-7337
Mailing Address - Fax:314-516-6624
Practice Address - Street 1:1 UNIVERSITY BLVD
Practice Address - Street 2:KATHY J. WEINMAN BUILDING
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-4400
Practice Address - Country:US
Practice Address - Phone:314-516-7341
Practice Address - Fax:314-516-6624
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2015-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080215561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical