Doctor Name: | DENNIS RAWLINGS BOOTS |
NPI Number: | 1073574521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LISW |
License Number: | 00820 |
Business Practice Address: | 2101 Court St Sioux City, IA - 511043243 |
Business Phone Number: | 7122934700 |
Business Fax Number: | 7122934805 |
Mailing Address: | Po Box 1197, SIOUX CITY |
State: | IA |
Postal Code: | 511021197 |
Phone Number: | 7122934700 |
Fax Number: | 7122934805 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 00820 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |