Provider Demographics
NPI:1902620560
Name:DAWSON, KATE ELIZABETH (MSW, LSW)
Entity type:Individual
Prefix:MS
First Name:KATE
Middle Name:ELIZABETH
Last Name:DAWSON
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4311 N RAVENSWOOD AVE STE 316
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1192
Mailing Address - Country:US
Mailing Address - Phone:847-865-8440
Mailing Address - Fax:
Practice Address - Street 1:4311 N RAVENSWOOD AVE STE 316
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1192
Practice Address - Country:US
Practice Address - Phone:847-865-8440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-11
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150114958104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker