Individual provider Active NPI

Dawn Head, LCSW

  • Clinical Social Worker
  • Brooksville, FL
National Provider Identifier
1487046710
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4913 Issued in FL
Practice address
15311 Cortez Blvd
Brooksville, FL 34613-6005
Phone
(813) 787-0154
NPI assigned
Feb 24, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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 SW4913 FL Primary

Addresses

Primary practice location

15311 Cortez Blvd
Brooksville, FL 34613-6005

Mailing address

15408 Princewood LN
Land O Lakes, FL 34638-6873
Phone (813) 787-0154

Other names 1

  • Dawn Elizabeth Doster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211208000227 VA Practitioner - Clinical Social Worker 7315988219 Reassigns benefits to 1 organization
I20221208001364 DC Practitioner - Clinical Social Worker 7315988219 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uplift Behavioral Health PCGroup PAC ID 4688057086, 16 clinicians

Practice addresses (Care Compare)

1050 30TH St NW
Washington, DC 20007-3822
Phone (888) 380-2028

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (888) 380-2028

3033 Wilson Blvd
Suite 700
Arlington, VA 22201-3868
Phone (202) 410-5972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW4913FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Behavioral Health PC Clinical CurrentSince Sep 1, 2022 Accepting new patients

Locations

1050 30th St NW
Washington, DC 20007
Phone (202) 410-5972

3033 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (202) 410-5972

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

Interoperability endpoints

  • Direct secure messaging: dawn.head.1@30520.direct.athenahealth.com

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, 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": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1487046710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15408 PRINCEWOOD LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346386873",
            "telephone_number": "813-787-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15311 CORTEZ BLVD",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346136005",
            "telephone_number": "813-787-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "DOSTER",
            "middle_name": "ELIZABETH",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooksville, FL

Sources for this page

Verify at the official NPI Registry.