Healthcare Provider Details

I. General information

NPI: 1669612842
Provider Name (Legal Business Name): DAWN MARIE MURPHY DBH, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2009
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 SADIE ST
JOHNSTOWN PA
15906-1029
US

IV. Provider business mailing address

8 SADIE ST
JOHNSTOWN PA
15906-1029
US

V. Phone/Fax

Practice location:
  • Phone: 231-202-1501
  • Fax:
Mailing address:
  • Phone: 231-202-1501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34475
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6801086724
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW017962
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW18864
License Number StateAZ
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW0000008610
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: