Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | P64595 | NY |
N | 1041C0700X | Clinical Social Worker | 078823 | NY |
Y | 1041C0700X | Clinical Social Worker | LC50079094 | DC |
NPI | 1003063629 |
---|---|
Provider Name | Ms. Dorothy Ellen Schug |
First Address | Washington, DC 20020-5805 |
Second Address | Washington, DC 20020-5805 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2008 |
Last Update Date | 10/08/2011 |