Provider Demographics
NPI:1558611277
Name:EDWARDS, DAWN M (LGSW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 TOWN SQUARE DR
Mailing Address - Street 2:STE 3
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-6534
Mailing Address - Country:US
Mailing Address - Phone:410-231-0488
Mailing Address - Fax:410-449-6171
Practice Address - Street 1:225 TOWN SQUARE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-6534
Practice Address - Country:US
Practice Address - Phone:410-231-0488
Practice Address - Fax:410-449-6171
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical