Provider Demographics
NPI:1194871319
Name:DUMAS, EDWARD GEORGE (LCSW)
Entity type:Individual
Prefix:MR
First Name:EDWARD
Middle Name:GEORGE
Last Name:DUMAS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3157
Mailing Address - Street 2:
Mailing Address - City:PLACIDA
Mailing Address - State:FL
Mailing Address - Zip Code:33946-3157
Mailing Address - Country:US
Mailing Address - Phone:941-650-4923
Mailing Address - Fax:941-473-3567
Practice Address - Street 1:2960 S MCCALL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34224-7792
Practice Address - Country:US
Practice Address - Phone:941-473-3838
Practice Address - Fax:941-473-3567
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00004331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical