Doctor Name: | DR. GRETA SHAMES-DAWSON |
NPI Number: | 1174514673 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW., PHD |
License Number: | 44SC00654300 |
Business Practice Address: | 25 Meadow Ave Unit 20 Monmouth Beach, NJ - 077501062 |
Business Phone Number: | 7322229711 |
Business Fax Number: | 7322229711 |
Mailing Address: | 25 Meadow Ave, Unit 20 MONMOUTH BEACH |
State: | NJ |
Postal Code: | 077501062 |
Phone Number: | 7322229711 |
Fax Number: | 7322229711 |
NPI Enumeration Date: | 11/03/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC00654300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |