Individual provider Active NPI

Dawn Martin Davis, LCSW

  • Clinical Social Worker
  • New Orleans, LA
National Provider Identifier
1275158339
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2528 Issued in LA
Practice address
1421 General Taylor St
New Orleans, LA 70115-3717
Phone
(504) 894-1999
Fax
(504) 894-1111
NPI assigned
Jun 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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 2528 LA Primary

Addresses

Primary practice location

1421 General Taylor St
New Orleans, LA 70115-3717

Mailing address

2113 Highway 182
Raceland, LA 70394-3163
Phone (985) 628-0511

Other identifiers 1

IdentifierTypeStateIssuer
2528OtherLALA STATE BOARD SOCIAL WORK EXAMINERS

Other names 1

  • Dawn Marie Martin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL dawnd@communitycarehospital.com Health Information Exchange (HIE)
Direct Messaging Address dawnd@communitycarehospital.com Health Information Exchange (HIE)

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
2528LAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1592092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1275158339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 HIGHWAY 182",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703943163",
            "telephone_number": "985-628-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 GENERAL TAYLOR ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153717",
            "telephone_number": "504-894-1999",
            "fax_number": "504-894-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAWN",
        "middle_name": "MARTIN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-14",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD SOCIAL WORK EXAMINERS",
            "identifier": "2528",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dawnd@communitycarehospital.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "1421 General Taylor St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701153717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dawnd@communitycarehospital.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct messaging",
            "address_1": "1421 General Taylor St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701153717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "MARTIN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2020; 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.