Active NPI
Dawn Denise Burns Casey, LCSW
- Clinical Social Worker
- Olive Branch, MS
National Provider Identifier
1780730747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C5963
- Practice address
- 5600 Goodman Rd Ste B
Olive Branch, MS 38654-7002 - Phone
- (901) 218-8117
- Fax
- (662) 893-1102
- NPI assigned
- Jan 25, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LSW0000004493 | TN | |
| Clinical Social Worker | 1041C0700X | C5963 | MS | Primary |
Addresses
Primary practice location
5600 Goodman Rd Ste B
Olive Branch, MS 38654-7002
Mailing address
1573 Sea Isle Rd
Memphis, TN 38117-6951
Phone (901) 685-6149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09207046 | Medicaid | MS |
Other names 1
- Dawn Denise Burns
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5963 | MS | MD | Clinical Social Worker |
| LSW0000004493 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1780730747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1573 SEA ISLE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381176951",
"telephone_number": "901-685-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 GOODMAN RD STE B",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386547002",
"telephone_number": "901-218-8117",
"fax_number": "662-893-1102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURNS CASEY",
"first_name": "DAWN",
"middle_name": "DENISE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "LSW0000004493",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C5963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09207046",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAWN",
"last_name": "BURNS",
"middle_name": "DENISE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.