Provider Demographics
NPI:1770760159
Name:DEPASQUALE, DAWN (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:DEPASQUALE
Suffix:
Gender:
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02777-2915
Mailing Address - Country:US
Mailing Address - Phone:774-955-7731
Mailing Address - Fax:
Practice Address - Street 1:310 WILBUR AVE STE 2
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-2600
Practice Address - Country:US
Practice Address - Phone:508-379-3309
Practice Address - Fax:508-622-5690
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC01353101YM0800X
MA6468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health