Healthcare Provider Details

I. General information

NPI: 1982857132
Provider Name (Legal Business Name): ROXANNE HOTCHKISS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/01/2008
Last Update Date: 11/08/2023
Certification Date: 11/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2929 CARLISLE ST SUITE 200
DALLAS TX
75204-1084
US

IV. Provider business mailing address

30251 KINGS VLY E
CONIFER CO
80433-7426
US

V. Phone/Fax

Practice location:
  • Phone: 214-348-5557
  • Fax: 214-348-5898
Mailing address:
  • Phone: 469-358-4298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number40575
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: