Individual provider Active NPI

Lisa Irene Dawson, LCSW

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1154673127
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C009213 Issued in NC
Practice address
1304 Commerce Dr
Suite C
New Bern, NC 28562-2212
Phone
(252) 637-4673
NPI assigned
Oct 15, 2012
Last updated
Nov 6, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 C009213 NC Primary

Addresses

Primary practice location

1304 Commerce Dr
Suite C
New Bern, NC 28562-2212

Mailing address

1901 Ef Thompkins LN
New Bern, NC 28562-6001
Phone (252) 571-2661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130204000355 NC Practitioner - Clinical Social Worker 7012161862 Practice locations: New Bern, NC

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Jimmies Creek Dr
New Bern, NC 28562-3704
Phone (252) 571-2661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C009213NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Harbor Counseling, PLLC Clinical CurrentSince Aug 23, 2020 Accepting new patients
A Better Place Behavioral Health Clinical PastSince Apr 16, 2012 Accepting new patients

Locations

300 S Jimmies Creek Dr
New Bern, NC 28562
Phone (252) 497-2701

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, 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": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1154673127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 EF THOMPKINS LN",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285626001",
            "telephone_number": "252-571-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 COMMERCE DR",
            "address_2": "SUITE C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285622212",
            "telephone_number": "252-637-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "LISA",
        "middle_name": "IRENE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.