Dawn M Whitten, LCSW
Individual provider Active NPI Clinical Social Worker · Salt Point, NY
NPI 1124124417 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124124417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 074482 (NY)
- Practice address
- 57 Red Fox LN
Salt Point, NY 12578-3105 - Phone
- (845) 266-8477
- Fax
- (860) 364-4160
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004096 | CT | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 074482 | NY | Yes |
Addresses
Primary practice location
57 Red Fox LN
Salt Point, NY 12578-3105
Mailing address
57 Red Fox LN
Salt Point, NY 12578-3105
Phone (845) 266-8477
Other providers in Salt Point, NY
- Taconic Audiology, PLLC
- Shasta Danielle Treadway
- Melissa Valentino
- Jacob Logan Wasserman
- Olivia Weyant
All providers in Salt Point, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.