Active NPI
Zachary T Dawson, LSW, MSW
- Social Worker
- Chillicothe, OH
National Provider Identifier
1043047392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1701377
- Practice address
- 111 W Water St
Chillicothe, OH 45601-2452 - Phone
- (740) 851-6493
- NPI assigned
- Sep 18, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1701377 | OH | Primary |
Addresses
Primary practice location
111 W Water St
Chillicothe, OH 45601-2452
Mailing address
120 W Main St
Circleville, OH 43113-1654
Phone (740) 851-6493
Other names 1
- Mr. Zachary T Renner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1701377 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Group Home, LLC | Past | Accepting new patients | |
| Phoenix Group Home, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/pathihc/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Portsmouth, OH
- NPI 1083146013
-
- Substance Abuse Rehabilitation Facility
- Cincinnati, OH
- NPI 1336654854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1043047392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W MAIN ST",
"city": "CIRCLEVILLE",
"state": "OH",
"postal_code": "431131654",
"telephone_number": "740-851-6493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W WATER ST",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456012452",
"telephone_number": "740-851-6493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "ZACHARY",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "LSW, MSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1701377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ZACHARY",
"last_name": "RENNER",
"middle_name": "T",
"prefix": "MR.",
"credential": "LSW, MSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.