Active NPI
Heather M Dawson, LCSW
- Clinical Social Worker
- Rosedale, NY
National Provider Identifier
1053715896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090160-01
- Practice address
- 14804 Edgewood St
Rosedale, NY 11422-3274 - Phone
- (718) 938-7238
- NPI assigned
- Oct 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 090160-01 | NY | Primary |
Addresses
Primary practice location
14804 Edgewood St
Rosedale, NY 11422-3274
Mailing address
14804 Edgewood St
Rosedale, NY 11422-3274
Phone (718) 938-7238
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090160-01 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical Providers PC | Past | Accepting new patients |
Organizations & group practices 1
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.
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- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1053715896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14804 EDGEWOOD ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114223274",
"telephone_number": "718-938-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14804 EDGEWOOD ST",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "114223274",
"telephone_number": "718-938-7238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "HEATHER",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-21",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090160-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.