Provider Demographics
NPI:1922658202
Name:DAWSON, CHRISTINA (LISW-S)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2275 STATE ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7143
Mailing Address - Country:US
Mailing Address - Phone:330-593-5959
Mailing Address - Fax:216-446-6030
Practice Address - Street 1:23715 MERCANTILE RD STE A203
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5918
Practice Address - Country:US
Practice Address - Phone:216-292-2880
Practice Address - Fax:216-446-6030
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2024-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical