Provider Demographics
NPI:1376978494
Name:BECK, DAWN EARWOOD (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:EARWOOD
Last Name:BECK
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 1:616 E MARION ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-4618
Mailing Address - Country:US
Mailing Address - Phone:704-482-6776
Mailing Address - Fax:704-482-8640
Practice Address - Street 1:616 E MARION ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-4618
Practice Address - Country:US
Practice Address - Phone:704-482-6776
Practice Address - Fax:704-482-8640
Is Sole Proprietor?:No
Enumeration Date:2013-09-09
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP008362104100000X, 1041C0700X, 1041S0200X
NC11837451041S0200X
NCC0096511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool