Provider Demographics
NPI:1609207877
Name:HUGGINS, DAWN A (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:A
Last Name:HUGGINS
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 1:7155 MURREL RD SUITE 101
Mailing Address - Street 2:
Mailing Address - City:MELBOURE
Mailing Address - State:FL
Mailing Address - Zip Code:32940-1231
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7155 MURREL RD SUITE 101
Practice Address - Street 2:
Practice Address - City:MELBOURE
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:843-617-0138
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-12
Last Update Date:2018-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW124711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSW12471OtherLCSW