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NPI Code Detail

MEDICARE: DAWN UPSHAW LCSW

MEDICARE: DAWN UPSHAW 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
11041C0700XClinical Social Worker8197LA

General Provider Information

NPI Number : 1598570111
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN UPSHAW LCSW
Provider Business Mailing Address
First Line : 900 WILKINSON ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-3533
Country : US
Telephone Number : 985-624-4450
Fax Number :
Provider Business Practice Location Address
First Line : 900 WILKINSON ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-3533
Country : US
Telephone Number : 985-624-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 12/02/2025

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Directions to “ DAWN UPSHAW LCSW” Practice Location

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