=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992155964
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | APRIL DAWN LINCOLN LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/20/2016
-----------------------------------------------------
Last Update Date | 07/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 5TH AVE S STE 508
-----------------------------------------------------
City | LA CROSSE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54601-4059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-387-9638
-----------------------------------------------------
Fax | 608-377-7488
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 205 5TH AVE S STE 508
-----------------------------------------------------
City | LA CROSSE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 54601-4059
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 608-387-9638
-----------------------------------------------------
Fax | 608-377-7488
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 130154-121
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 8952-123
-----------------------------------------------------
License Number State | WI
-----------------------------------------------------