Dawn Bremer Jenkins, MSSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13269 Issued in MN

Practice address

Range Mental Health Center Perpich Building
3203 W 3Rd Ave
Hibbing, MN 55746

Phone

(218) 263-9237

Fax

(218) 262-3150

NPI assigned

Sep 26, 2006

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 identifiers 1

Other names 1

• Dawn Marie Bremer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Range Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Virginia, MN
  • NPI 1457452823
  NPD (past)
• Range Mental Health Center Inc

  • Substance Abuse Rehabilitation Facility
  • Hibbing, MN
  • NPI 1639232663
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1396846531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RANGE MENTAL HEALTH CENTER PERPICH BUILDING",
            "address_2": "3203 W 3RD AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "55746",
            "telephone_number": "218-263-9237",
            "fax_number": "218-262-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RANGE MENTAL HEALTH CENTER PERPICH BUILDING",
            "address_2": "3203 W 3RD AVE",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "55746",
            "telephone_number": "218-263-9237",
            "fax_number": "218-262-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAWN",
        "middle_name": "BREMER",
        "credential": "MSSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701183100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BREMER",
            "middle_name": "MARIE",
            "credential": "MSSW LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ivyrose LLC
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• Heathere Marie Jacobson, PHARMD
• Patrecia Taplin Jacobson, DDS
• John L Bonner Eye Clinic LTD
• Anita K Johnson-Hoehne, CNP
• Dana Ruthe Johnson
• Kimberly Louise Johnson, R.D.L.D.,CDE
• Mark Johnson

• Clinical Social Worker in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.