Provider Demographics
NPI:1538306626
Name:RUTIGLIANO, DAWN M (ASW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:RUTIGLIANO
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:BILLINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:14725 HYDRANGEA WAY
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-1531
Mailing Address - Country:US
Mailing Address - Phone:818-980-3200
Mailing Address - Fax:
Practice Address - Street 1:5200 LANKERSHIM BLVD
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3155
Practice Address - Country:US
Practice Address - Phone:818-980-3200
Practice Address - Fax:818-980-3203
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X, 101YM0800X
CAASW269221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical