Individual provider Active NPI

Larry Dawkins II, CCHW

  • Community Health Worker
  • Lincoln Park, MI
National Provider Identifier
1164370847
Registry record updated Mar 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
142899727 Issued in MI
Practice address
1470 Paris Ave Apt 12
Lincoln Park, MI 48146-1668
Phone
(313) 221-4885
NPI assigned
Mar 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 142899727 MI Primary

Addresses

Primary practice location

1470 Paris Ave Apt 12
Lincoln Park, MI 48146-1668

Mailing address

1470 Paris Ave Apt 12
Lincoln Park, MI 48146-1668
Phone (313) 221-4885

Other names 1

  • Lawrence Marcus Dawkins Other name

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
142899727MIMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dawkins Community Support Services LLC Current Accepting new patients

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": "1773878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774742400000",
    "number": "1164370847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 PARIS AVE APT 12",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461668",
            "telephone_number": "313-221-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 PARIS AVE APT 12",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481461668",
            "telephone_number": "313-221-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CCHW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-29",
        "certification_date": "2026-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MI",
            "license": "142899727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAWRENCE",
            "last_name": "DAWKINS",
            "middle_name": "MARCUS",
            "credential": "CCHW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lincoln Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2026; 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.