Dawn Marie-Chasity Eldridge, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801096606 Issued in MI

Practice address

6051 Frankfort Hwy
Benzonia, MI 49616-9558

Phone

(877) 398-2013

Fax

(231) 882-2195

NPI assigned

Jul 15, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dawn Engman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carla Miller Ma MSW

  • Clinical Social Worker
  • Grand Rapids, MI
  • NPI 1942334669
  NPD (past)

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1275940876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GLOCHESKI DR",
            "city": "MANISTEE",
            "state": "MI",
            "postal_code": "496602639",
            "telephone_number": "877-398-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FRANKFORT HWY",
            "city": "BENZONIA",
            "state": "MI",
            "postal_code": "496169558",
            "telephone_number": "877-398-2013",
            "fax_number": "231-882-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDRIDGE",
        "first_name": "DAWN",
        "middle_name": "MARIE-CHASITY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "ENGMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Deering
• Brenna Dilts, LMSW
• Laura Diver, MSPT
• Forrester Dobson
• Julie Dye
• Erica Embury
• Shannon Dawn Farber
• Janine Felice-Johnson, D.C.
• Janis Lyn Frazee, RNC MSN
• Colleen Reed Freund, DDS

• Social Worker in Benzonia, MI
• Providers in Benzonia, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.