Provider Demographics
NPI:1639221716
Name:ENGEL, DAWN EILEEN (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:EILEEN
Last Name:ENGEL
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 1:4950 MEREDITH WAY APT 104
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-9121
Mailing Address - Country:US
Mailing Address - Phone:303-443-2555
Mailing Address - Fax:
Practice Address - Street 1:4141 ARAPAHOE AVE STE 105
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-1032
Practice Address - Country:US
Practice Address - Phone:303-443-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4361041C0700X
CA168711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical