Individual provider Active NPI

Dawn Ann Rollins, LCSW

  • Clinical Social Worker
  • Paradise, CA
National Provider Identifier
1780608661
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 17234 Issued in CA
Practice address
5910 Clark Rd
Suite G
Paradise, CA 95969-4856
Phone
(530) 872-7939
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 17234 CA Primary

Addresses

Primary practice location

5910 Clark Rd
Suite G
Paradise, CA 95969-4856

Mailing address

5910 Clark Rd
Suite G
Paradise, CA 95969-4856
Phone (530) 872-7210

Other names 1

  • Dawn Ann Ingram Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20050412000575 CA Practitioner - Clinical Social Worker 6608813639 Reassigns benefits to 1 organization
Practice locations: Chico, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 17234CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Butte Current Accepting new patients
County of Butte CurrentSince Mar 1, 2016 Accepting new patients
County of Butte CurrentSince Mar 1, 2016 Accepting new patients

Locations

3217 Cohasset Rd
Cohasset, CA 95973
Phone (530) 552-4578

995 Spruce St
Gridley, CA 95948
Phone (530) 846-7305

5910 Clark Rd
Ste G
Paradise, CA 95969
Phone (530) 864-7806

Organizations & group practices 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780608661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE G",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-872-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 CLARK RD",
            "address_2": "SUITE G",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959694856",
            "telephone_number": "530-872-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "DAWN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "INGRAM",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paradise, CA

Sources for this page

Verify at the official NPI Registry.