Provider Demographics
NPI:1508127515
Name:DASH, ARTHUR (LCSW)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:
Last Name:DASH
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12000 LINCOLN DRIVE, SUITE 407
Mailing Address - Street 2:PAVILLIONS AT GREENTREE
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053
Mailing Address - Country:US
Mailing Address - Phone:856-577-0622
Mailing Address - Fax:
Practice Address - Street 1:12000 LINCOLN DRIVE, SUITE 407
Practice Address - Street 2:PAVILLIONS AT GREENTREE
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:856-577-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055047001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical