Provider Demographics
NPI:1174676043
Name:ATKINSON, DAWN LYNNE (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:LYNNE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-2105
Mailing Address - Country:US
Mailing Address - Phone:540-226-8736
Mailing Address - Fax:
Practice Address - Street 1:85 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2105
Practice Address - Country:US
Practice Address - Phone:540-226-8736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040024371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA210259OtherBLUE CROSS BLUE SHIELD
VA4945247Medicaid
VA210259OtherBLUE CROSS BLUE SHIELD