MEDICARE: MRS. DAWN MARIE LINDBERG 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	074400	NY

General Provider Information

NPI Number	:	1851599542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DAWN MARIE LINDBERG LCSW

Provider Business Mailing Address
First Line	:	40 ALARY RD
Second Line	:
City	:	LAGRANGEVILLE
State	:	NY
Zip	:	12540-6307
Country	:	US
Telephone Number	:	845-242-0247
Fax Number	:

Provider Business Practice Location Address
First Line	:	142 LAKE WALTON RD
Second Line	:
City	:	HOPEWELL JUNCTION
State	:	NY
Zip	:	12533-5054
Country	:	US
Telephone Number	:	845-242-0247
Fax Number	:

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

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	06/09/2026

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