MEDICARE: MRS. DAWN MARIE MEENAN LCSW-R

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	069316-1	NY
2	1041C0700X	Clinical Social Worker	9029-C	NV

General Provider Information

NPI Number	:	1760561138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN MARIE MEENAN LCSW-R

Provider Business Mailing Address
First Line	:	1300 SUN COPPER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7022
Country	:	US
Telephone Number	:	516-205-0473
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 SUN COPPER DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7022
Country	:	US
Telephone Number	:	516-205-0473
Fax Number	:

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

Provider Enumeration Date	:	11/04/2006
Last Update Date	:	05/22/2025

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