Provider Demographics
NPI:1447358189
Name:OFFUTT, DOROTHY C (MSW,MA)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:C
Last Name:OFFUTT
Suffix:
Gender:F
Credentials:MSW,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 VETERANS DR
Mailing Address - Street 2:122-LD
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2235
Mailing Address - Country:US
Mailing Address - Phone:859-281-3950
Mailing Address - Fax:859-281-3815
Practice Address - Street 1:1101 VETERANS DR
Practice Address - Street 2:122-LD
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2235
Practice Address - Country:US
Practice Address - Phone:859-281-3950
Practice Address - Fax:859-281-3815
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker