Provider Demographics
NPI:1497088959
Name:TANN, DAWN C A (MSW, LSW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:C A
Last Name:TANN
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:C A
Other - Last Name:VAN DE CAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1142 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1308
Mailing Address - Country:US
Mailing Address - Phone:614-312-8671
Mailing Address - Fax:
Practice Address - Street 1:140 N 5TH ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3532
Practice Address - Country:US
Practice Address - Phone:513-863-1629
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-15
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.09008901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical