Provider Demographics
NPI:1871262873
Name:FOSTER, DINAH MICHELLE (MSSW LCSW OSW-C)
Entity Type:Individual
Prefix:MISS
First Name:DINAH
Middle Name:MICHELLE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSSW LCSW OSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5323 HARRY HINES BLVD STOP 8510
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-8510
Mailing Address - Country:US
Mailing Address - Phone:214-645-4673
Mailing Address - Fax:214-648-7016
Practice Address - Street 1:2201 INWOOD RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75235-7320
Practice Address - Country:US
Practice Address - Phone:214-645-5701
Practice Address - Fax:214-648-7016
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX346691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty