=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205977097
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MABEL SCOTTIE HOTCHKISS LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2007
-----------------------------------------------------
Last Update Date | 02/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1405 W 16TH ST STE C
-----------------------------------------------------
City | YUMA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-343-1670
-----------------------------------------------------
Fax | 928-343-9296
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1405 W 16TH ST STE C
-----------------------------------------------------
City | YUMA
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85364
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 928-343-1670
-----------------------------------------------------
Fax | 928-343-9296
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LCSW0637
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number | LMFT0116
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------