Provider Demographics
NPI:1225370760
Name:HASWELL, DAWNA M (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWNA
Middle Name:M
Last Name:HASWELL
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:PO BOX 1726
Mailing Address - Street 2:
Mailing Address - City:PERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32348-7305
Mailing Address - Country:US
Mailing Address - Phone:850-329-5776
Mailing Address - Fax:
Practice Address - Street 1:1706 S JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:FL
Practice Address - Zip Code:32348-5611
Practice Address - Country:US
Practice Address - Phone:850-329-5776
Practice Address - Fax:888-974-6195
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL110771041C0700X
FLSW110771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical