Healthcare Provider Details

I. General information

NPI: 1336295609
Provider Name (Legal Business Name): DOROTHY LOUISE GARRETT LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 STONY POINTE WAY SUITE 221
STRASBURG VA
22657-2670
US

IV. Provider business mailing address

105 STONY POINTE WAY SUITE 221
STRASBURG VA
22657-2670
US

V. Phone/Fax

Practice location:
  • Phone: 540-465-4441
  • Fax: 540-465-4439
Mailing address:
  • Phone: 540-465-4441
  • Fax: 540-465-4439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904004873
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: