Individual provider Active NPI

David Bryant Dawson, MSW, LICSW

  • Clinical Social Worker
  • Bristol, RI
National Provider Identifier
1073739330
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISWO1832 Issued in RI
Practice address
18 Loring Rd
Bristol, RI 02809-1218
Phone
(401) 396-5096
NPI assigned
Apr 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISWO1832 RI Primary

Addresses

Primary practice location

18 Loring Rd
Bristol, RI 02809-1218

Mailing address

18 Loring Rd
Bristol, RI 02809-1218
Phone (401) 396-5096

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160818001644 MA Practitioner - Clinical Social Worker 6305986092 Reassigns benefits to 1 organization
I20240207000676 RI Practitioner - Clinical Social Worker 6305986092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10 Meadow St
Williamstown, MA 01267-3243
Phone (401) 575-2110

75 Barolay Dr
North Kingstown, RI 02852-5605
Phone (401) 575-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISWO1832RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawson & Associates, Therapy Services, LLC Clinical CurrentSince Jan 1, 2024 Accepting new patients

Locations

10 Meadow St
Williamstown, MA 01267
Phone (413) 458-4213

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073739330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LORING RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091218",
            "telephone_number": "401-396-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LORING RD",
            "city": "BRISTOL",
            "state": "RI",
            "postal_code": "028091218",
            "telephone_number": "401-396-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DAVID",
        "middle_name": "BRYANT",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISWO1832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, RI

Sources for this page

Verify at the official NPI Registry.