Provider Demographics
NPI:1760857718
Name:BELL, DAWN (MSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3394 RESERVE DR
Mailing Address - Street 2:APT 103
Mailing Address - City:PORTAGE
Mailing Address - State:IN
Mailing Address - Zip Code:46368-5244
Mailing Address - Country:US
Mailing Address - Phone:219-781-5585
Mailing Address - Fax:
Practice Address - Street 1:2005 VALPARAISO ST
Practice Address - Street 2:SUITE 209
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-3329
Practice Address - Country:US
Practice Address - Phone:219-252-5464
Practice Address - Fax:219-728-1860
Is Sole Proprietor?:No
Enumeration Date:2015-12-02
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker