Active NPI
Dawn August Macdonald, LCSW
- Clinical Social Worker
- Fort Wayne, IN
National Provider Identifier
1407169642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34008616A
- Practice address
- 909 E State Blvd
Fort Wayne, IN 46805-3404 - Phone
- (260) 481-2700
- Fax
- (260) 481-2709
- NPI assigned
- Jul 16, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 258730 | KY | |
| Clinical Social Worker | 1041C0700X | 6904 | SD | |
| Clinical Social Worker | 1041C0700X | 34008616A | IN | Primary |
| Social Worker | 104100000X | S.2410246 | OH |
Addresses
Primary practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Mailing address
50 S B B King Blvd # 100
Memphis, TN 38103-2626
Phone (901) 436-1381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2410246 | OH | MD | Social Worker |
| 34008616A | IN | MD | Clinical Social Worker |
| 258730 | KY | MD | Clinical Social Worker |
| 6904 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bowen Health Inc | Current | Accepting new patients | |
| Bowen Health Inc | Current | Accepting new patients |
Locations
119 W Market St
Columbia City, IN 46725
Phone (260) 248-8176
850 N Harrison St
Warsaw, IN 46580
Phone (219) 267-7169
2621 E Jefferson St
Warsaw, IN 46580
Phone (574) 269-0573
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Warsaw, IN
- NPI 1639172810
-
- Federally Qualified Health Center (FQHC)
- Fort Wayne, IN
- NPI 1023668183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1407169642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD # 100",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "901-436-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 E STATE BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468053404",
"telephone_number": "260-481-2700",
"fax_number": "260-481-2709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "DAWN",
"middle_name": "AUGUST",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-16",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "258730",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6904",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34008616A",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2410246",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.