Provider Demographics
NPI:1235357278
Name:DAWKINS-BREWSTER, CHRISTINE (LICSW, LCSW-C, LISW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:DAWKINS-BREWSTER
Suffix:
Gender:F
Credentials:LICSW, LCSW-C, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 CURTIS DR
Mailing Address - Street 2:T-1
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2649
Mailing Address - Country:US
Mailing Address - Phone:301-423-0090
Mailing Address - Fax:301-423-0327
Practice Address - Street 1:3304 CURTIS DR
Practice Address - Street 2:T-1
Practice Address - City:SUITLAND
Practice Address - State:MD
Practice Address - Zip Code:20746-2649
Practice Address - Country:US
Practice Address - Phone:240-535-1474
Practice Address - Fax:301-423-0327
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0608314101YA0400X
DCLC500782111041C0700X
MD134571041C0700X
SC90431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)