Active NPI
Dawn Wood Counseling, LLC
- Clinical Social Worker
- Kalamazoo, MI
National Provider Identifier
1013378850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801096207
- Legal business name
- DAWN WOOD COUNSELING, LLC
- Practice address
- 3503 Greenleaf Blvd Ste 202
Kalamazoo, MI 49008-2580 - Phone
- (269) 808-0160
- NPI assigned
- Mar 7, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn Marie Wood, LLMSW
- Title
- Director
- Phone
- (269) 808-0160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Social Worker | 1041C0700X | 6801096207 | MI | Primary |
Addresses
Primary practice location
3503 Greenleaf Blvd Ste 202
Kalamazoo, MI 49008-2580
Mailing address
1918 Stearns Ave
Kalamazoo, MI 49008-1844
Phone (269) 808-0160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0C90618 | Other | MI | BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN |
National Provider Directory
National Provider DirectoryLocations
3503 Greenleaf Blvd
Ste 202
Kalamazoo, MI 49008
Phone (269) 267-8978
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Battle Creek, MI
- NPI 1871849661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551312000000",
"number": "1013378850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1918 STEARNS AVE",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081844",
"telephone_number": "269-808-0160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3503 GREENLEAF BLVD STE 202",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490082580",
"telephone_number": "269-808-0160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN WOOD COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-07",
"last_updated": "2019-02-28",
"status": "A",
"authorized_official_last_name": "WOOD",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "269-808-0160",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LLMSW"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801096207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN",
"identifier": "0C90618",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.