Provider Demographics
NPI:1578865788
Name:WELCH, DAWN T (LCSW, PI-P)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:T
Last Name:WELCH
Suffix:
Gender:F
Credentials:LCSW, PI-P
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:T
Other - Last Name:MINTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, PI-P
Mailing Address - Street 1:2752 E WORCESTER PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-4826
Mailing Address - Country:US
Mailing Address - Phone:605-759-6080
Mailing Address - Fax:
Practice Address - Street 1:2752 E WORCESTER PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-4826
Practice Address - Country:US
Practice Address - Phone:605-759-6080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD21441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical