Active NPI
Timothy Michael Dawson, L.M.S.W.
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1407985708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L793114
- Practice address
- 38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867 - Phone
- (248) 478-0422
- NPI assigned
- Mar 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L793114 | MI | Primary |
Addresses
Primary practice location
38345 W 10 Mile Rd
Suite 150
Farmington Hills, MI 48335-2867
Mailing address
23970 Colchester St.
Farmington, MI 48336
Phone (248) 474-7225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000298 | MI | Practitioner - Clinical Social Worker | 8921992322 | Practice locations: Farmington Hills, MI |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
26105 Orchard Lake Rd
Suite 113
Farmington Hills, MI 48334-4576
Phone (248) 921-3778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L793114 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407985708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23970 COLCHESTER ST.",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "48336",
"telephone_number": "248-474-7225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38345 W 10 MILE RD",
"address_2": "SUITE 150",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483352867",
"telephone_number": "248-478-0422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "TIMOTHY",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "L.M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "L793114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.