Provider Demographics
NPI:1154913630
Name:BURNS, DOROTHY MAE TURNEY (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:DOROTHY
Middle Name:MAE TURNEY
Last Name:BURNS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MAYFAIR DR
Mailing Address - Street 2:
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-8333
Mailing Address - Country:US
Mailing Address - Phone:406-388-4570
Mailing Address - Fax:
Practice Address - Street 1:205 HAGGERTY LN
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-8800
Practice Address - Country:US
Practice Address - Phone:406-388-4570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2024-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT557661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT55766OtherBOARD OF BEHAVIORAL HEALTH LICENSE