Individual provider Active NPI

Dawneace Taylor, LCSW

  • Social Worker
  • Batesville, AR
National Provider Identifier
1124283619
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7996-M Issued in AR
Practice address
400 Harrison St RM 101
Batesville, AR 72501-6906
Phone
(870) 291-3707
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 7996-C AR
Social Worker 104100000X 7996-M AR Primary

Addresses

Primary practice location

400 Harrison St RM 101
Batesville, AR 72501-6906

Mailing address

226 Mockingbird St Apt 1
Batesville, AR 72501-6604
Phone (870) 291-3707

Other practice location 1

2199 Harrison St
Batesville, AR 72501-7416
Phone (870) 793-6774

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7996-MARMDSocial Worker
7996-CARMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Pinnacle Pointe Hospital LLC Past Accepting new patients
BHC Pinnacle Pointe Hospital, Inc. PastSince Oct 10, 2021 Accepting new patients

Organizations & group practices 2

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1124283619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 MOCKINGBIRD ST APT 1",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016604",
            "telephone_number": "870-291-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARRISON ST RM 101",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725016906",
            "telephone_number": "870-291-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2199 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "725017416",
            "country_code": "US",
            "telephone_number": "870-793-6774",
            "fax_number": "870-793-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "DAWNEACE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7996-C",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7996-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.