Dawn Irene Avery, LICSW
Individual provider Active NPI Clinical Social Worker · Walla Walla, WA
NPI 1043966765 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1043966765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 60613860 (WA)
- Practice address
- 77 Wainwright Dr
Walla Walla, WA 99362-3975 - Phone
- (509) 525-5200
- NPI assigned
- Feb 22, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60613860 | WA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 60613860 | WA | Yes |
Addresses
Primary practice location
77 Wainwright Dr
Walla Walla, WA 99362-3975
Mailing address
77 Wainwright Dr
Walla Walla, WA 99362-3975
Phone (509) 520-9838
Other providers in Walla Walla, WA
- Kathryn Jane Austin
- Tiffany Auxier
- Alina Renee Avalos
- Allan F Avbel
- Justin Bassett Averett
- Babble & Bloom
- Ana-Megan Babin
- Dewann Bach
- Peter S Bae
- Katie Bailey
All providers in Walla Walla, WA · Clinical Social Worker in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.