Jan Dawkins, SCHOOL PSYCHOLOGIST
Individual provider Active NPI School Psychologist · Williamston, SC
NPI 1174948822 · NPPES record last updated Mar 4, 2014
Key facts
- NPI
- 1174948822
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 107138 (SC)
- Practice address
- 801 N Hamilton St
Williamston, SC 29697-1061 - Phone
- (864) 847-7344
- NPI assigned
- Mar 4, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107138 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson School District One | Past | Accepting new patients | |
| Anderson County School District One | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 107138 | SC | Yes |
Addresses
Primary practice location
801 N Hamilton St
Williamston, SC 29697-1061
Mailing address
801 N Hamilton St
Williamston, SC 29697-1061
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0401 | Medicaid | SC |
Other providers in Williamston, SC
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- Amanda Cowart
- Robin Crawford
- Andrew D'Agostino
- Christie Dorsey
- Robert M. Durham
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- Daniel Alexander Ellis
All providers in Williamston, SC · School Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2014. 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.