Individual provider Active NPI

Dawn L Slag, LAC LMSW

  • Social Worker
  • Bismarck, ND
National Provider Identifier
1255369393
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
3837 Issued in ND
Practice address
1308 Elbowood LN
Bismarck, ND 58503-5712
Phone
(701) 751-8260
Fax
(701) 751-2298
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1541 ND
Social Worker 104100000X 3837 ND Primary

Addresses

Primary practice location

1308 Elbowood LN
Bismarck, ND 58503-5712

Mailing address

1308 Elbowood LN
Bismarck, ND 58503-5712
Phone (170) 175-1826

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
3837NDMDSocial Worker
1541NDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1255369393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOOD LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "170-175-1826",
            "fax_number": "701-751-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 ELBOWOOD LN",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585035712",
            "telephone_number": "701-751-8260",
            "fax_number": "701-751-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAG",
        "first_name": "DAWN",
        "middle_name": "L",
        "credential": "LAC LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1541",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "3837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bismarck, ND

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.