Individual provider Active NPI

Dawn Dundas, LMSW

  • Social Worker
  • Rogers, AR
National Provider Identifier
1629417571
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
7069-M Issued in AR
Practice address
1200 W Walnut St
Ste 1400
Rogers, AR 72756-3521
Phone
(479) 750-2020
Fax
(479) 750-4843
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 7069-M AR Primary

Addresses

Primary practice location

1200 W Walnut St
Ste 1400
Rogers, AR 72756-3521

Mailing address

2400 S 48TH St
Springdale, AR 72762-6683
Phone (479) 750-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220317002634 FL Practitioner - Clinical Social Worker 9436544053 Reassigns benefits to 1 organization
I20220518003045 NC Practitioner - Clinical Social Worker 9436544053 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7069-MARMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhealthy PC CurrentSince Dec 15, 2021 Accepting new patients
NPI 1427568427 PastSince Feb 1, 2023 Accepting new patients
Ozark Guidance Center, Inc Past Accepting new patients

Locations

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

909 Aviation Pkwy
Ste 400
Morrisville, NC 27560
Phone 8333755300141

1001 Aviation Pkwy
Ste 400
Morrisville, NC 27560
Phone (833) 375-5300

Organizations & group practices 2

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1629417571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S 48TH ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626683",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W WALNUT ST",
            "address_2": "STE 1400",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563521",
            "telephone_number": "479-750-2020",
            "fax_number": "479-750-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDAS",
        "first_name": "DAWN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AR",
            "license": "7069-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.