Provider Demographics
NPI:1639144488
Name:LAWLESS, DAWN A (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:A
Last Name:LAWLESS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 MARKET ST
Mailing Address - Street 2:SUITE 600
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77550-1530
Mailing Address - Country:US
Mailing Address - Phone:409-762-8636
Mailing Address - Fax:409-762-4185
Practice Address - Street 1:2225 CR 90
Practice Address - Street 2:SUITE 119
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584
Practice Address - Country:US
Practice Address - Phone:281-485-9280
Practice Address - Fax:281-485-9070
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX324111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN532384000OtherMAGELLAN
TX167165301Medicaid
TX86536QOtherBLUE CROSS BLUE SHIELD