Provider Demographics
NPI:1457556987
Name:LEPORE-DOYLE, DAWN ELAINE (LCSW, LLC)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:ELAINE
Last Name:LEPORE-DOYLE
Suffix:
Gender:F
Credentials:LCSW, LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HILLSIDE TER
Mailing Address - Street 2:
Mailing Address - City:MONTVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07645-2513
Mailing Address - Country:US
Mailing Address - Phone:973-815-0777
Mailing Address - Fax:201-391-7387
Practice Address - Street 1:777 PASSAIC AVE
Practice Address - Street 2:5TH FLOOR, SUITE 365
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-1804
Practice Address - Country:US
Practice Address - Phone:973-815-0777
Practice Address - Fax:201-391-7387
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC045968001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical