Active NPI
Dawn Rene Smith, LMSW
- Social Worker
- Bath, NY
National Provider Identifier
1568551000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 065700-1
- Practice address
- 76 Veterans Ave
BH/181/104/B101
Bath, NY 14810-0810 - Phone
- (607) 664-4371
- NPI assigned
- Oct 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 065700-1 | NY | Primary |
Addresses
Primary practice location
76 Veterans Ave
BH/181/104/B101
Bath, NY 14810-0810
Mailing address
1921 Ray Roberts Rd
Watkins Glen, NY 14891-9762
Phone (607) 535-9713
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 |
|---|---|---|---|
| 065700-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568551000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 RAY ROBERTS RD",
"city": "WATKINS GLEN",
"state": "NY",
"postal_code": "148919762",
"telephone_number": "607-535-9713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 VETERANS AVE",
"address_2": "BH/181/104/B101",
"city": "BATH",
"state": "NY",
"postal_code": "148100810",
"telephone_number": "607-664-4371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "DAWN",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "065700-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.