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NPI Code Detail

MEDICARE: MRS. DAWN MARIE CONOVER MSW, LCSW

MEDICARE: MRS. DAWN MARIE CONOVER MSW, 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 Worker44SC05157300NJ

General Provider Information

NPI Number : 1952509523
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DAWN MARIE CONOVER MSW, LCSW
Provider Business Mailing Address
First Line : PO BOX 997
Second Line :
City : OCEAN GATE
State : NJ
Zip : 08740-0997
Country : US
Telephone Number : 848-992-5846
Fax Number :
Provider Business Practice Location Address
First Line : 1771 MADISON AVE
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1242
Country : US
Telephone Number : 732-364-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2007
Last Update Date : 07/24/2024

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