Provider Demographics
NPI:1639409162
Name:DAWSON-MCCARTHY, MARILYN (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARILYN
Middle Name:
Last Name:DAWSON-MCCARTHY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 STATE LINE RD
Mailing Address - Street 2:SUITE 322
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206-1572
Mailing Address - Country:US
Mailing Address - Phone:913-642-7575
Mailing Address - Fax:
Practice Address - Street 1:8700 STATE LINE RD
Practice Address - Street 2:SUITE 322
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1572
Practice Address - Country:US
Practice Address - Phone:913-642-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical