Provider Demographics
NPI:1366038978
Name:DOWNEY, DAWN COLLEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:COLLEEN
Last Name:DOWNEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:DOWNEY
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:43358 LIVERY SQ
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5338
Mailing Address - Country:US
Mailing Address - Phone:703-304-1260
Mailing Address - Fax:
Practice Address - Street 1:43358 LIVERY SQ
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5338
Practice Address - Country:US
Practice Address - Phone:703-304-1260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040046361041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty