Provider Demographics
NPI:1750633715
Name:DAWN DANIELS LCSW LLC
Entity Type:Organization
Organization Name:DAWN DANIELS LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:DANIELS
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:727-207-5682
Mailing Address - Street 1:10105 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-3823
Mailing Address - Country:US
Mailing Address - Phone:727-207-5682
Mailing Address - Fax:
Practice Address - Street 1:10105 LAKE DR
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34654-3823
Practice Address - Country:US
Practice Address - Phone:727-207-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-15
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW8741251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health