Individual provider Active NPI

Dawn F Knowles, LCSW

  • Clinical Social Worker
  • Mount Olive, NC
National Provider Identifier
1811337074
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C007658 Issued in NC
Practice address
103 W John Street
Ste 103
Mount Olive, NC 28365-1106
Phone
(919) 252-3511
NPI assigned
Jul 2, 2013
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 C007658 NC Primary

Addresses

Primary practice location

103 W John Street
Ste 103
Mount Olive, NC 28365-1106

Mailing address

1010 N Breazeale Ave
Unit C
Mount Olive, NC 28365-1106
Phone (919) 658-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130911000381 NC Practitioner - Clinical Social Worker 2860636974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

103 W John St
Suite 103
Mount Olive, NC 28365-1632
Phone (919) 252-3511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C007658NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Acquiring Change Counseling PLLC Clinical CurrentSince Apr 22, 2025 Accepting new patients

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1811337074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BREAZEALE AVE",
            "address_2": "UNIT C",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651106",
            "telephone_number": "919-658-7500",
            "fax_number": "919-658-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W JOHN STREET",
            "address_2": "STE 103",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "283651106",
            "telephone_number": "919-252-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "DAWN",
        "middle_name": "F",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Olive, NC

Sources for this page

Verify at the official NPI Registry.