Provider Demographics
NPI:1063728087
Name:EDWARDS, DAWN MARIE (LICSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 OAK PARK DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-8907
Mailing Address - Country:US
Mailing Address - Phone:508-243-0112
Mailing Address - Fax:
Practice Address - Street 1:149 OAK PARK DR
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-8907
Practice Address - Country:US
Practice Address - Phone:508-243-0112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical