Individual provider Active NPI

Dawn Jones Payne, MSW LCSWA

  • Clinical Social Worker
  • Winston Salem, NC
National Provider Identifier
1225374697
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P0006490 Issued in NC
Practice address
1645 Cherry Blossom LN Unit 103
Winston Salem, NC 27127-3222
Phone
(336) 501-3057
NPI assigned
Dec 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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 P0006490 NC Primary

Addresses

Primary practice location

1645 Cherry Blossom LN Unit 103
Winston Salem, NC 27127-3222

Mailing address

1645 Cherry Blossom LN Unit 103
Winston Salem, NC 27127-3222
Phone (336) 501-3057

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
P0006490NCMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1225374697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 CHERRY BLOSSOM LN UNIT 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273222",
            "telephone_number": "336-501-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 CHERRY BLOSSOM LN UNIT 103",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271273222",
            "telephone_number": "336-501-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DAWN",
        "middle_name": "JONES",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P0006490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.