Organization
STURGES DODGE, LCSW, P.A.
Active
Organization
STURGES DODGE, LCSW, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY STURGES DODGE LCSW (PRESIDENT)
(302) 227-1446
Entity
Organization
Contact information
Practice address
512 NEW CASTLE STREET EXTENDED, REHOBOTH BEACH, DE 19971-1839
(302) 227-1446
(302) 227-1446
Mailing address
512 NEW CASTLE STREET EXTENDED, REHOBOTH BEACH, DE 19971-1839
(302) 227-1446
(302) 227-1446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
Q1-0000576
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023569
—
DE
01
—
100023371002
APS HEALTHCARE
DE
01
—
218529
COMPSYCH CORP.
DE
01
—
3348967
AETNA HEALTH MANAGEMENT
DE
01
—
62-98635
UNITED HEALTHCARE
DE
Enumeration date
02/27/2007
Last updated
08/22/2020
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