Provider Demographics
NPI:1184051260
Name:DAWSON, MELISSA BARBOSA (LICSW)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BARBOSA
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:RAPOSO
Other - Last Name:BARBOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:182 READ STREET
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02720
Mailing Address - Country:US
Mailing Address - Phone:617-803-0718
Mailing Address - Fax:508-830-0092
Practice Address - Street 1:34 MAIN ST
Practice Address - Street 2:STE 103
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-8308
Practice Address - Country:US
Practice Address - Phone:508-830-0012
Practice Address - Fax:508-830-0092
Is Sole Proprietor?:No
Enumeration Date:2013-10-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA116389101Y00000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor