Provider Demographics
NPI:1124313648
Name:DAWSON, SARAH REIMER (LISW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:REIMER
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 353
Mailing Address - Street 2:
Mailing Address - City:HINCKLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44233-0353
Mailing Address - Country:US
Mailing Address - Phone:440-230-2564
Mailing Address - Fax:330-278-2061
Practice Address - Street 1:23 ERIC NORD WAY
Practice Address - Street 2:SUITE 12
Practice Address - City:OBERLIN
Practice Address - State:OH
Practice Address - Zip Code:44074-1582
Practice Address - Country:US
Practice Address - Phone:440-230-2564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2016-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 1501425101YM0800X
AZLCSW-12905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health