| Organization Name: | STURGES DODGE, LCSW, P.A. |
| NPI Number: | 1326175613 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY STURGES DODGE (PRESIDENT) |
| Mailing Address: | 512 New Castle Street Extended Rehoboth Beach |
| State: | DE US |
| Postal Code: | 199711839 |
| Phone Number: | 3022271446 |
| Fax Number: | 3022271446 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | Q1-0000576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |