Provider Demographics
NPI:1740358613
Name:DAWES, ARTHUR F (LCSW)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:F
Last Name:DAWES
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 1:14222 OAK SHADOWS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-4419
Mailing Address - Country:US
Mailing Address - Phone:210-499-4058
Mailing Address - Fax:
Practice Address - Street 1:14427 BROOK HOLLOW BLVD # 141
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3826
Practice Address - Country:US
Practice Address - Phone:210-499-4058
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX034121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00S64TMedicare ID - Type Unspecified