Provider Demographics
NPI:1750705604
Name:DAWSON, STEVEN (LCSW, CASAS-T)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:LCSW, CASAS-T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8470 GREINER RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-2829
Mailing Address - Country:US
Mailing Address - Phone:716-380-1782
Mailing Address - Fax:845-334-3680
Practice Address - Street 1:1 PENN PLZ # 3605
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10119-0002
Practice Address - Country:US
Practice Address - Phone:347-470-6608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-13
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY29367101YA0400X
NY087347-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)