Provider Demographics
NPI:1043760226
Name:NASH, DAWN M (MSW, LCSW, SSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:M
Last Name:NASH
Suffix:
Gender:F
Credentials:MSW, LCSW, SSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 PALISADE AVE
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1134
Mailing Address - Country:US
Mailing Address - Phone:201-952-5309
Mailing Address - Fax:
Practice Address - Street 1:407 PALISADE AVE
Practice Address - Street 2:
Practice Address - City:BOGOTA
Practice Address - State:NJ
Practice Address - Zip Code:07603-1134
Practice Address - Country:US
Practice Address - Phone:201-647-2644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-11
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC056145001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical