Provider Demographics
NPI:1023869484
Name:BRUBAKER, DAWN S (DSW,LSW)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:S
Last Name:BRUBAKER
Suffix:
Gender:F
Credentials:DSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 HAZELTINE WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-2582
Mailing Address - Country:US
Mailing Address - Phone:412-295-2353
Mailing Address - Fax:
Practice Address - Street 1:5333 BUTLER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15201-2623
Practice Address - Country:US
Practice Address - Phone:412-295-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW141297104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker