Individual provider Active NPI

Nancy Anne Dawson, L.C.S.W.

  • Mental Health Counselor
  • Port Orange, FL
National Provider Identifier
1679206288
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103
Phone
(386) 333-9717
Fax
(386) 333-9718
NPI assigned
Jul 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103

Mailing address

55 Knollwood Estates Dr
Ormond Beach, FL 32174-4220
Phone (386) 341-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220801001060 FL Practitioner - Clinical Social Worker 9133501661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amanda Patterson, LMHC, LLCGroup PAC ID 5193250207, 11 clinicians
Patricia Adams Counseling, LLCGroup PAC ID 4284955527, 6 clinicians

Practice addresses (Care Compare)

2000 NW 150TH Ave
210 And 211
Pembroke Pines, FL 33028-2870
Phone (954) 378-5381

900 N Swallow Tail Dr
Suite 105
Port Orange, FL 32129-6103
Phone (386) 333-9717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Adams Counseling, LLC Mental Health CurrentSince Jul 15, 2022 Accepting new patients
Amanda Patterson, LMHC, LLC Mental Health CurrentSince Nov 30, 2025 Accepting new patients

Locations

2929 N University Dr
Ste 205
Coral Springs, FL 33065
Phone (561) 408-1098

5400 S University Dr
Ste 308
Davie, FL 33328
Phone (978) 378-5381

2000 NW 150th Ave
#210
Pembroke Pines, FL 33028

900 N Swallow Tail Dr
Ste 105
Port Orange, FL 32129
Phone (386) 333-9717

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1679206288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 KNOLLWOOD ESTATES DR",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744220",
            "telephone_number": "386-341-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N SWALLOW TAIL DR STE 105",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321296103",
            "telephone_number": "386-333-9717",
            "fax_number": "386-333-9718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.