Provider Demographics
NPI:1104194281
Name:FRASNELLI, DAWN PAULA (LCSW)
Entity type:Individual
Prefix:MISS
First Name:DAWN
Middle Name:PAULA
Last Name:FRASNELLI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1138 E CHESTNUT AVE
Mailing Address - Street 2:BUILDING # 6
Mailing Address - City:VINELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:08360-5053
Mailing Address - Country:US
Mailing Address - Phone:856-691-1511
Mailing Address - Fax:856-691-8511
Practice Address - Street 1:1138 E CHESTNUT AVE
Practice Address - Street 2:BUILDING # 6
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-5053
Practice Address - Country:US
Practice Address - Phone:856-691-1511
Practice Address - Fax:856-691-8511
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054816001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical