Provider Demographics
NPI:1366897555
Name:AUSTIN, DASHANNE (LISW)
Entity type:Individual
Prefix:
First Name:DASHANNE
Middle Name:
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:DASHANNE
Other - Middle Name:
Other - Last Name:CZEGLEDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:830 N SUMMIT ST
Mailing Address - Street 2:STE. 2
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1884
Mailing Address - Country:US
Mailing Address - Phone:419-693-9600
Mailing Address - Fax:
Practice Address - Street 1:830 N SUMMIT ST
Practice Address - Street 2:STE. 2
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43604-1884
Practice Address - Country:US
Practice Address - Phone:419-693-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-26
Last Update Date:2019-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.15013081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical