Active NPI
Dana C Branson, LCSW, CASAC
- Clinical Social Worker
- Cape Girardeau, MO
National Provider Identifier
1568468627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 005663
- Practice address
- 20 S Sprigg St
Cape Girardeau, MO 63703-6212 - Phone
- (573) 651-4177
- Fax
- (573) 651-3636
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 005663 | MO | Primary |
Addresses
Primary practice location
20 S Sprigg St
Cape Girardeau, MO 63703-6212
Mailing address
20 S Sprigg St
Cape Girardeau, MO 63703-6212
Phone (573) 651-4177
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111503 | Other | FIRST HEALTH/COVENTRY | |
| 494750326 | Medicaid | MO | |
| 431116734 | Other | UNITED BEHAVIORAL HEALTH | |
| 431116734 | Other | EAP CERIDIAN | |
| 43111673463857A | Other | TRI CARE WEST | |
| 162909 | Other | BLUE CROSS BLUE SHIELD | |
| 431116734 | Other | EAP CONCERN | |
| 431116734 | Other | NEW DIRECTIONS | |
| 51130 | Other | MOUNT CARMEL | |
| 11333199 | Other | CAQH | |
| 431116734 | Other | EAP NEW DIRECTIONS | |
| 431116734 | Other | EAP WELLPOINT | |
| 431116734 | Other | EAP INTERFACE | |
| 713386 | Other | HEALTHLINK PPO |
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 |
|---|---|---|---|
| 005663 | MO | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215734400000",
"number": "1568468627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S SPRIGG ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036212",
"telephone_number": "573-651-4177",
"fax_number": "573-651-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S SPRIGG ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637036212",
"telephone_number": "573-651-4177",
"fax_number": "573-651-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSON",
"first_name": "DANA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LCSW, CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2008-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "005663",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/COVENTRY",
"identifier": "2111503",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "494750326",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP CERIDIAN",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI CARE WEST",
"identifier": "43111673463857A",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "162909",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP CONCERN",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW DIRECTIONS",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNT CARMEL",
"identifier": "51130",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11333199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP NEW DIRECTIONS",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP WELLPOINT",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAP INTERFACE",
"identifier": "431116734",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PPO",
"identifier": "713386",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cape Girardeau, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.