Provider Demographics
NPI:1952565905
Name:BARR, DAWN JUDY (MSW,LISW)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:JUDY
Last Name:BARR
Suffix:
Gender:F
Credentials:MSW,LISW
Other - Prefix:MRS
Other - First Name:DAWN
Other - Middle Name:JUDY
Other - Last Name:REINER/RHOADES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW,LISW
Mailing Address - Street 1:3 AGILA CT
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544
Mailing Address - Country:US
Mailing Address - Phone:505-662-3264
Mailing Address - Fax:
Practice Address - Street 1:3 AGILA CT
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544
Practice Address - Country:US
Practice Address - Phone:505-662-3264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-17
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-41311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical