MEDICARE: NEW DAWN THERAPY LLC

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	:	1770229346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW DAWN THERAPY LLC

Provider Business Mailing Address
First Line	:	49 GROVE ST
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1511
Country	:	US
Telephone Number	:	781-527-4363
Fax Number	:	781-291-4109

Provider Business Practice Location Address
First Line	:	49 GROVE ST
Second Line	:
City	:	NORWELL
State	:	MA
Zip	:	02061-1511
Country	:	US
Telephone Number	:	781-527-4363
Fax Number	:	781-291-4109

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	DANA MARIE NASSER-TOBIN
Credential	:	LICSW
Telephone Number	:	781-527-4363

Provider Enumeration Date	:	05/06/2022
Last Update Date	:	05/06/2022

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Directions to “NEW DAWN THERAPY LLC ” Practice Location

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