Active NPI
John Douglas Dunn, LSWAIC
- Clinical Social Worker
- Spokane, WA
National Provider Identifier
1558834192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC61546413
- Practice address
- 201 W North River Dr Ste 301
Spokane, WA 99201-2262 - Phone
- (509) 919-7129
- NPI assigned
- Jan 7, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60960707 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CG60960707 | WA | |
| Clinical Social Worker | 1041C0700X | SC61546413 | WA | Primary |
Addresses
Primary practice location
201 W North River Dr Ste 301
Spokane, WA 99201-2262
Mailing address
112 N 3Rd St
Cheney, WA 99004-2120
Phone (509) 919-7129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC61546413 | WA | MD | Clinical Social Worker |
| CG60960707 | WA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Behavioral Health | Clinical | 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": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1558834192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 3RD ST",
"city": "CHENEY",
"state": "WA",
"postal_code": "990042120",
"telephone_number": "509-919-7129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W NORTH RIVER DR STE 301",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992012262",
"telephone_number": "509-919-7129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "JOHN",
"middle_name": "DOUGLAS",
"credential": "LSWAIC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-07",
"last_updated": "2024-09-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60960707",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "CG60960707",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC61546413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.