Active NPI
Justin Dawson, LICSW, CDP
- Social Worker
- Everett, WA
National Provider Identifier
1487015111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60294752
- Practice address
- 3000 Rockefeller Ave
M/S 305
Everett, WA 98201-4046 - Phone
- (425) 388-7215
- NPI assigned
- Mar 8, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60294752 | WA | Primary |
Addresses
Primary practice location
3000 Rockefeller Ave
M/S 305
Everett, WA 98201-4046
Mailing address
3000 Rockefeller Ave
M/S 305
Everett, WA 98201-4046
Phone (425) 388-7215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60294752 | WA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snohomish County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Everett, WA
- NPI 1184909301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1457395200000",
"number": "1487015111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 ROCKEFELLER AVE",
"address_2": "M/S 305",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014046",
"telephone_number": "425-388-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 ROCKEFELLER AVE",
"address_2": "M/S 305",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014046",
"telephone_number": "425-388-7215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "JUSTIN",
"credential": "LICSW, CDP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-08",
"last_updated": "2016-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60294752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.