Individual provider Active NPI

Dawn Michelle Jett, LCSW

  • Clinical Social Worker
  • Augusta, GA
National Provider Identifier
1265596274
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW003221 Issued in GA
Practice address
3540 Wheeler Rd Ste 210
Augusta, GA 30909-1879
Phone
(706) 951-2182
NPI assigned
Dec 21, 2006
Last updated
Jan 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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 CSW003221 GA Primary

Addresses

Primary practice location

3540 Wheeler Rd Ste 210
Augusta, GA 30909-1879

Mailing address

2641 Raymond Ave
Augusta, GA 30904-5338
Phone (706) 951-2182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20050301000824 GA Practitioner - Clinical Social Worker 0648223750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2641 Raymond Ave
Augusta, GA 30904-5338
Phone (706) 951-2182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dawn M. Jett, LCSW, LLC CurrentSince Jan 1, 2025 Accepting new patients
Elizabeth R. Glaze, LPC, LLC CurrentSince Jan 1, 2024 Accepting new patients
Jewish Family Services of Greater Charlotte, Inc Clinical Past Accepting new patients
Citypt Inc Past Accepting new patients

Locations

211 Pleasant Home Rd
Ste G1
Augusta, GA 30907
Phone (706) 364-4599

3540 Wheeler Rd
Ste 210
Augusta, GA 30909
Phone (706) 951-2182

3504 Professional Cir
Ste A
Martinez, GA 30907
Phone (706) 288-5082

Organizations & group practices 4

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1265596274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 RAYMOND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045338",
            "telephone_number": "706-951-2182",
            "fax_number": "706-364-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD STE 210",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091879",
            "telephone_number": "706-951-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETT",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.