Russell James Dawson II

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06992800 Issued in NJ

Practice address

2240 State Route 33 Ste 111
Neptune, NJ 07753-6121

Phone

(732) 977-2255

NPI assigned

Oct 16, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1003698127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 STATE ROUTE 33",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536104",
            "telephone_number": "732-977-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 STATE ROUTE 33 STE 111",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077536121",
            "telephone_number": "732-977-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "RUSSELL",
        "middle_name": "JAMES",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-16",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06992800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Elizabeth Daum
• Gina L. Davis-Lane, MSW, LCADC, CCS
• Charlene Davis, NP
• Ruth A Davis, APNC
• Maria Agnes C Dawis, M.D.
• Don Leonard De Lapp, LCADC, LCSW,SAP, CCS
• Thomas Frank Deblasio, M.D.
• Mikaela Louise Chua Decher, RN
• Briana Mary Degraaf, PA-C
• Brook A Dejene, MD

• Social Worker in Neptune, NJ
• Providers in Neptune, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.