Provider Demographics
NPI:1316320088
Name:CLUVER, DAWN M (LCSW, ACSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:CLUVER
Suffix:
Gender:F
Credentials:LCSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 N CUNNINGHAM AVE
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:IL
Mailing Address - Zip Code:61802-1830
Mailing Address - Country:US
Mailing Address - Phone:217-367-3728
Mailing Address - Fax:
Practice Address - Street 1:1301 N CUNNINGHAM AVE
Practice Address - Street 2:
Practice Address - City:URBANA
Practice Address - State:IL
Practice Address - Zip Code:61802-1830
Practice Address - Country:US
Practice Address - Phone:217-367-3728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0144561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical