Provider Demographics
NPI:1013690932
Name:AMRAM, DAWN (LCSW, LICSW)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:
Last Name:AMRAM
Suffix:
Gender:F
Credentials:LCSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 LEDGEVIEW WAY APT 3101
Mailing Address - Street 2:
Mailing Address - City:WRENTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02093-1929
Mailing Address - Country:US
Mailing Address - Phone:909-489-7698
Mailing Address - Fax:
Practice Address - Street 1:60 LEDGEVIEW WAY APT 3101
Practice Address - Street 2:
Practice Address - City:WRENTHAM
Practice Address - State:MA
Practice Address - Zip Code:02093-1929
Practice Address - Country:US
Practice Address - Phone:909-489-7698
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALICSW11417501041C0700X
CT154621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical