Provider Demographics
NPI:1851599450
Name:DUNNINGTON, CELIA JO (ISW)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:JO
Last Name:DUNNINGTON
Suffix:
Gender:F
Credentials:ISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 GINTER AVE
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-5734
Mailing Address - Country:US
Mailing Address - Phone:319-631-2881
Mailing Address - Fax:
Practice Address - Street 1:20 S VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-1821
Practice Address - Country:US
Practice Address - Phone:319-631-2881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA008621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical