Individual provider Active NPI

Dawn Elizabeth Adams, LICSW

  • Clinical Social Worker
  • Gloucester, MA
National Provider Identifier
1366970345
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123845 Issued in MA
Practice address
9 King Philip Rd
Gloucester, MA 01930-2435
Phone
(978) 793-0274
NPI assigned
Jun 2, 2017
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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 123845 MA Primary

Addresses

Primary practice location

9 King Philip Rd
Gloucester, MA 01930-2435

Mailing address

9 King Philip Rd
Gloucester, MA 01930-2435
Phone (978) 793-0274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220624002501 MA Practitioner - Clinical Social Worker 6507245313 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Northeast Behavioral Health CorporationGroup PAC ID 0446155808, 42 clinicians
Corf Psychology Group LLCGroup PAC ID 7012328461, 3 clinicians

Practice addresses (Care Compare)

298 Washington St
Gloucester, MA 01930-4832
Phone (978) 283-0296

4 S Main St
Suite 9
Ipswich, MA 01938-2345
Phone (978) 704-1212

500 Cummings Ctr
Suite 3100
Beverly, MA 01915-6540
Phone (978) 921-4000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
123845MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Jul 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Clinical CurrentSince Jul 25, 2025 Accepting new patients
Optum Behavioral Care of Connecticut, P.C. Current Accepting new patients
Corf Psychology Group LLC Clinical CurrentSince May 30, 2022 Accepting new patients

Locations

40 Shattuck Rd
Ste 250
Andover, MA 01810
Phone (978) 254-4116

500 Cummings Ctr
Ste 3100
Beverly, MA 01915
Phone (978) 716-6774

140 Wood Rd
#206
Braintree, MA 02184

4 S Main St
Ste 9
Ipswich, MA 01938
Phone (978) 704-1212

Organizations & group practices 5

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": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1366970345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KING PHILIP RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302435",
            "telephone_number": "978-793-0274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 KING PHILIP RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019302435",
            "telephone_number": "978-793-0274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DAWN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

Verify at the official NPI Registry.