Individual provider Active NPI

Trudy C Dawson, MSW LCSW

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1083640189
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
986050 Issued in CO
Practice address
7035 Campus Dr
Ste 808
Colorado Springs, CO 80920-6527
Phone
(719) 377-2118
Fax
(877) 515-7172
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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 986050 CO Primary

Addresses

Primary practice location

7035 Campus Dr
Ste 808
Colorado Springs, CO 80920-6527

Mailing address

PO Box 76510
Colorado Springs, CO 80970-6510
Phone (719) 638-8844

Other identifiers 1

IdentifierTypeStateIssuer
016468MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041027001161 CO Practitioner - Clinical Social Worker 5597652909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7035 Campus Dr
Suite 808
Colorado Springs, CO 80920-6527
Phone (719) 377-2118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
986050COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trudy C Dawson MSW LCSW PC Clinical CurrentSince Jun 1, 2002 Accepting new patients

Locations

7035 Campus Dr
Ste 808
Colorado Springs, CO 80920
Phone (719) 377-2118

4760 Flintridge Dr
Ste 250
Colorado Springs, CO 80918
Phone (719) 260-6262

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1083640189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76510",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809706510",
            "telephone_number": "719-638-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 CAMPUS DR",
            "address_2": "STE 808",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206527",
            "telephone_number": "719-377-2118",
            "fax_number": "877-515-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "TRUDY",
        "middle_name": "C",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "986050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016468",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.