Provider Demographics
NPI:1164393864
Name:LLOYD-DOTTA, TATIANA LEE (LMSW)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:LEE
Last Name:LLOYD-DOTTA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 HAVEMEYER ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4781
Mailing Address - Country:US
Mailing Address - Phone:619-857-3067
Mailing Address - Fax:
Practice Address - Street 1:132 HAVEMEYER ST APT 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4781
Practice Address - Country:US
Practice Address - Phone:619-857-3067
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118807-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical