Provider Demographics
NPI:1487371209
Name:BOTTOMS, DENEE
Entity type:Individual
Prefix:
First Name:DENEE
Middle Name:
Last Name:BOTTOMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 WARFIELD DR APT 4060
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-4591
Mailing Address - Country:US
Mailing Address - Phone:646-258-7466
Mailing Address - Fax:
Practice Address - Street 1:400 WARFIELD DR APT 4060
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20785-4591
Practice Address - Country:US
Practice Address - Phone:646-258-7466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker