Provider Demographics
NPI:1982616272
Name:KAYE, DAWN BRESSLER (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:BRESSLER
Last Name:KAYE
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 1:3018 JAVIER RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4609
Mailing Address - Country:US
Mailing Address - Phone:703-204-9100
Mailing Address - Fax:301-309-2596
Practice Address - Street 1:3018 JAVIER RD
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4609
Practice Address - Country:US
Practice Address - Phone:703-204-9100
Practice Address - Fax:301-309-2596
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904005659104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA246529OtherKAISER
VA350562OtherMHN
VA7884661OtherAETNA
VA530198598OtherTRICARE
VA589121000OtherMAGELLAN
MD64329201OtherBCBS
DCA2840142OtherBCBS
VA589121000OtherMAGELLAN