Provider Demographics
NPI:1568866739
Name:BLEIMEYER, DAWNA ELAINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:DAWNA
Middle Name:ELAINE
Last Name:BLEIMEYER
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 1:2805 LAS VEGAS CT STE B
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007-4108
Mailing Address - Country:US
Mailing Address - Phone:575-522-5144
Mailing Address - Fax:
Practice Address - Street 1:250 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88001-1278
Practice Address - Country:US
Practice Address - Phone:575-522-5144
Practice Address - Fax:575-522-5177
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMC-107491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical