Healthcare Provider Details

I. General information

NPI: 1386413318
Provider Name (Legal Business Name): WALTER ARDEN DUNN LSW, CADC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 N WASHINGTON AVE STE 321
SCRANTON PA
18503-1501
US

IV. Provider business mailing address

1441 LAKE ARIEL HWY
LAKE ARIEL PA
18436-4204
US

V. Phone/Fax

Practice location:
  • Phone: 570-961-3361
  • Fax: 570-961-3364
Mailing address:
  • Phone: 570-269-8812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number14849
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027061
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW139660
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: