Provider Demographics
NPI:1649432592
Name:DION, LAURA L (LCSW)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:L
Last Name:DION
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 1:1561 BREEZEWOOD LN NW
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32907-6323
Mailing Address - Country:US
Mailing Address - Phone:321-693-8671
Mailing Address - Fax:
Practice Address - Street 1:1561 BREEZEWOOD LN NW
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32907-6323
Practice Address - Country:US
Practice Address - Phone:321-693-8671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-01
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 89201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical