MEDICARE: DAWN RENEE DANIELL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	109088	TX

General Provider Information

NPI Number	:	1144162744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN RENEE DANIELL LCSW

Provider Business Mailing Address
First Line	:	333 HIDDEN OAKS DR UNIT A
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-6134
Country	:	US
Telephone Number	:	512-229-8448
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 HIDDEN OAKS DR UNIT A
Second Line	:
City	:	ELGIN
State	:	TX
Zip	:	78621-6134
Country	:	US
Telephone Number	:	512-229-8448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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