Organization Active NPI

Trudy C Dawson MSW LCSW PC

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1588832398
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
986050 Issued in CO
Legal business name
TRUDY C DAWSON MSW LCSW PC
Practice address
7035 Campus Dr Ste 808
Colorado Springs, CO 80920-6527
Phone
(719) 377-2118
NPI assigned
Feb 14, 2008
Last updated
Feb 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trudy Dawson, MSW, LCSWNPI 1083640189
Title
Owner
Phone
(719) 377-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 986050 CO Primary

Addresses

Primary practice location

7035 Campus Dr Ste 808
Colorado Springs, CO 80920-6527

Mailing address

4760 Flintridge Dr Ste 250
Colorado Springs, CO 80918-4264

Other practice location 1

4760 Flintridge Dr Ste 250
Colorado Springs, CO 80918-4264
Phone (719) 260-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040301001166 CO Part B Supplier - Clinic/Group Practice 8527955939 Receives reassigned benefits from 1 practitioner
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

7035 Campus Dr
Ste 808
Colorado Springs, CO 80920
Phone (719) 377-2118

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1588832398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 FLINTRIDGE DR STE 250",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809184264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 CAMPUS DR STE 808",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206527",
            "telephone_number": "719-377-2118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4760 Flintridge Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809184264",
            "country_code": "US",
            "telephone_number": "719-260-6262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRUDY C DAWSON MSW LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "TRUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-377-2118",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "986050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.