Provider Demographics
NPI:1548022775
Name:LENNY, DAWN MARIE (MS, LCSW)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:MARIE
Last Name:LENNY
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:MS
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:MC DADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LCSW
Mailing Address - Street 1:464 COVERED BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034-3107
Mailing Address - Country:US
Mailing Address - Phone:267-210-5737
Mailing Address - Fax:
Practice Address - Street 1:215 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:HADDON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08108-2634
Practice Address - Country:US
Practice Address - Phone:856-854-3155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC062890001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical