Organization Active NPI

Dawn Wood Counseling, LLC

  • Clinical Social Worker
  • Kalamazoo, MI
National Provider Identifier
1013378850
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801096207 Issued in MI
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

Updated by the provider on Feb 28, 2019

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

Authorized official

Name
Ms. Dawn Marie Wood, LLMSWNPI 1871849661
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0C90618OtherMIBLUE CROSS BLUE SHIELD, BLUE CARE NETWORK OF MICHIGAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.