Provider Demographics
NPI:1548340094
Name:BARIE, DAWN L (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:L
Last Name:BARIE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N CHARLES ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4166
Mailing Address - Country:US
Mailing Address - Phone:203-848-0587
Mailing Address - Fax:203-848-0587
Practice Address - Street 1:201 N CHARLES ST STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4166
Practice Address - Country:US
Practice Address - Phone:203-848-0587
Practice Address - Fax:203-848-0587
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD147121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004039244Medicaid