Provider Demographics
NPI:1134871106
Name:GIVENS, DANA LEIGH (LICSW)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:LEIGH
Last Name:GIVENS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:PIEDMONT
Mailing Address - State:AL
Mailing Address - Zip Code:36272-0045
Mailing Address - Country:US
Mailing Address - Phone:256-499-0512
Mailing Address - Fax:
Practice Address - Street 1:1302 NOBLE ST STE 3H
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36201-4678
Practice Address - Country:US
Practice Address - Phone:256-499-0512
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-21
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4947C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical