MEDICARE: ROBIN NAMORE JOY-DAWSON LISW, LICDC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	001187	OH
2	104100000X	Social Worker	I.700433	OH

General Provider Information

NPI Number	:	1447759170
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN NAMORE JOY-DAWSON LISW, LICDC

Provider Business Mailing Address
First Line	:	CINCINNATI VA MEDICAL CENTER 3200 VINE STREET
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237
Country	:	US
Telephone Number	:	513-861-3100
Fax Number	:	513-487-6613

Provider Business Practice Location Address
First Line	:	3200 VINE ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45220-2213
Country	:	US
Telephone Number	:	513-861-3100
Fax Number	:	513-486-6613

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

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	02/08/2018

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