Provider Demographics
NPI:1063968824
Name:CONROY, DAWN M (LMSW/LCSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:M
Last Name:CONROY
Suffix:
Gender:F
Credentials:LMSW/LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2026 BLACKMOUNTAIN DR SE
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-7686
Mailing Address - Country:US
Mailing Address - Phone:269-767-1245
Mailing Address - Fax:
Practice Address - Street 1:6255 N CAMINO PIMERIA ALTA APT 34
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-3618
Practice Address - Country:US
Practice Address - Phone:269-767-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-31
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010658541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical