Healthcare Provider Details

I. General information

NPI: 1285560441
Provider Name (Legal Business Name): ASHLYNN MONAE DAWSON LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 PARKDALE PL STE N
INDIANAPOLIS IN
46254-4697
US

IV. Provider business mailing address

6811 BRENDON WAY NORTH DR
INDIANAPOLIS IN
46226-1106
US

V. Phone/Fax

Practice location:
  • Phone: 508-203-6770
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33013616A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: