Provider Demographics
NPI:1336718493
Name:DAWSON, LAURA CAROLINE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CAROLINE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414A LEBANON RD
Mailing Address - Street 2:
Mailing Address - City:NORTH FRANKLIN
Mailing Address - State:CT
Mailing Address - Zip Code:06254-1612
Mailing Address - Country:US
Mailing Address - Phone:860-830-1532
Mailing Address - Fax:
Practice Address - Street 1:414A LEBANON RD
Practice Address - Street 2:
Practice Address - City:NORTH FRANKLIN
Practice Address - State:CT
Practice Address - Zip Code:06254-1612
Practice Address - Country:US
Practice Address - Phone:860-830-1532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0085611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical