Provider Demographics
NPI:1467195867
Name:TORRES, DAWN MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:TORRES
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 GLENDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:FL
Mailing Address - Zip Code:32580-1098
Mailing Address - Country:US
Mailing Address - Phone:985-324-9495
Mailing Address - Fax:
Practice Address - Street 1:402 GLENDALE AVE
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:FL
Practice Address - Zip Code:32580-1098
Practice Address - Country:US
Practice Address - Phone:985-324-9495
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-14
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL192441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty