Individual provider Active NPI

Dawn C. a. Tann, MSW, LSW

  • Clinical Social Worker
  • Hamilton, OH
National Provider Identifier
1497088959
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.0900890 Issued in OH
Practice address
140 N 5TH St
Hamilton, OH 45011-3532
Phone
(513) 863-1629
NPI assigned
Sep 15, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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 S.0900890 OH Primary

Addresses

Primary practice location

140 N 5TH St
Hamilton, OH 45011-3532

Mailing address

1142 Franklin Ave
Columbus, OH 43205-1308
Phone (614) 312-8671

Other names 1

  • Dawn C. a. Van de Car Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.0900890OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada 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.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252972800000",
    "number": "1497088959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 FRANKLIN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051308",
            "telephone_number": "614-312-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N 5TH ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450113532",
            "telephone_number": "513-863-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANN",
        "first_name": "DAWN",
        "middle_name": "C. A.",
        "name_prefix": "Mrs.",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.0900890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "VAN DE CAR",
            "middle_name": "C. A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.