Healthcare Provider Details

I. General information

NPI: 1932667615
Provider Name (Legal Business Name): CARISSA DAWSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARISSA MCGUINNESS

II. Dates (important events)

Enumeration Date: 03/12/2019
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 CLAPBOARDTREE ST
WESTWOOD MA
02090-1717
US

IV. Provider business mailing address

732 MAIN ST
SOMERSET MA
02726-5819
US

V. Phone/Fax

Practice location:
  • Phone: 781-762-4001
  • Fax:
Mailing address:
  • Phone: 239-273-3029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number15661
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number15661
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: