Provider Demographics
NPI:1508838855
Name:DELL'ANGELA, DAWN ANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:ANN
Last Name:DELL'ANGELA
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 1:3558 VANCOUVER AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3822
Mailing Address - Country:US
Mailing Address - Phone:619-532-8561
Mailing Address - Fax:619-532-5687
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:BLDG 6-3
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-8561
Practice Address - Fax:619-532-5687
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS158441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical