Provider Demographics
NPI:1144315375
Name:HORNE, DAWN ALLISON (LMSW)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:ALLISON
Last Name:HORNE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-2673
Mailing Address - Country:US
Mailing Address - Phone:248-373-9200
Mailing Address - Fax:248-313-9613
Practice Address - Street 1:1525 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-2673
Practice Address - Country:US
Practice Address - Phone:248-373-9200
Practice Address - Fax:313-961-3769
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802082950104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6802082950OtherSTATE LICENSE NUMBER
MI6801088651OtherLMSW