MEDICARE: DAWN M. LUXMORE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1467936252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN M. LUXMORE LCSW

Provider Business Mailing Address
First Line	:	775 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8910
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	775 WEATHERLY DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37043-8910
Country	:	US
Telephone Number	:	888-291-4357
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2018
Last Update Date	:	01/27/2026

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