Provider Demographics
NPI:1245722263
Name:DAWSON, CHRISTINE ANN (LICSW, LIMHP)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANN
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LICSW, LIMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4801 N 156TH CT APT 182
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-3276
Mailing Address - Country:US
Mailing Address - Phone:320-420-3183
Mailing Address - Fax:
Practice Address - Street 1:4801 N 156TH CT APT 182
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-3276
Practice Address - Country:US
Practice Address - Phone:320-420-3183
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-05
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE27511041C0700X
MN228741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical