Dawn Kokernak, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

272 Issued in NH

Practice address

120 Bedford Center Rd
Ste. 302
Bedford, NH 03110-5442

Phone

(603) 472-5117

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Adult Counseling & Psychotherapy of Lake County, LLC

  • Mental Health Counselor
  • Tavares, FL
  • NPI 1932473451

  Clinical

  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598860652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 BOURNE DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106849",
            "telephone_number": "603-472-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BEDFORD CENTER RD",
            "address_2": "STE. 302",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031105442",
            "telephone_number": "603-472-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKERNAK",
        "first_name": "DAWN",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "1400567Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bekah LF Kittredge, CNM
• Coleen Klardie, RPH
• Thomas Jackson Kleeman, MD
• Stacey Klein, SPL
• Alexander P Knapik, MD
• Kristen Ellen Korbani, PA
• Joanne E Kordas, ARNP
• Sarah Korins, OTR
• Kerry Elizabeth Koroski, M.S., R.D., L.D.
• Megan Bailey Kosciak

• Clinical Social Worker in Bedford, NH
• Providers in Bedford, NH by specialty
• Clinical Social Worker in New Hampshire

• 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.

Verify at the official NPI Registry.