Individual provider Active NPI

Dawn C Brose, LCSW

  • Clinical Social Worker
  • Coeur d'Alene, ID
National Provider Identifier
1811618929
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
8911046 Issued in ID
Practice address
7905 N Meadowlark Way Ste B
Coeur D Alene, ID 83815-5041
Phone
(208) 772-3116
Fax
(208) 772-7677
NPI assigned
Sep 7, 2022
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LMSW-42332 ID
Clinical Social Worker 1041C0700X 8911046 ID Primary

Addresses

Primary practice location

7905 N Meadowlark Way Ste B
Coeur D Alene, ID 83815-5041

Mailing address

PO Box 1387
Hayden, ID 83835-1387

Other practice location 1

3700 W Seltice Way
Coeur D Alene, ID 83814-8921
Phone (208) 620-5255

Other names 1

  • Mrs. Dawn Christine Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20260211003949 ID Practitioner - Clinical Social Worker 2466931175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers IncGroup PAC ID 2466353354, 82 clinicians

Practice addresses (Care Compare)

2205 N Ironwood PL
Coeur D Alene, ID 83814-2610
Phone (208) 292-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMSW-42332IDMDSocial Worker
8911046IDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Dirne Health Centers, Inc. Clinical CurrentSince Feb 1, 2026 Accepting new patients
Dirne Health Centers, Inc Social Worker CurrentSince Feb 1, 2026 Accepting new patients
Rathdrum Counseling Center LLC Past Accepting new patients
Sensitive Mental Healthcare PLLC PastSince Sep 11, 2022 Accepting new patients

Locations

1090 W Park Pl
Coeur D Alene, ID 83814
Phone (208) 215-2005

2205 N Ironwood Pl
Coeur D Alene, ID 83814
Phone (208) 292-0303

3700 W Seltice Way
Coeur D Alene, ID 83814
Phone (208) 620-5250

740 McKinley Ave
Kellogg, ID 83837
Phone (208) 783-1267

925 E Polston Ave
Post Falls, ID 83854
Phone (208) 618-0787

16760 N Highway 41
Rathdrum, ID 83858
Phone (208) 687-5627

120 S 13th St
St Maries, ID 83861
Phone (208) 245-4363

Organizations & group practices 5

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1811618929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1387",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838351387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 N MEADOWLARK WAY STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838155041",
            "telephone_number": "208-772-3116",
            "fax_number": "208-772-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 W Seltice Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838148921",
            "country_code": "US",
            "telephone_number": "208-620-5255",
            "fax_number": "844-807-3782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROSE",
        "first_name": "DAWN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-42332",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "8911046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "BENNETT",
            "middle_name": "CHRISTINE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

Verify at the official NPI Registry.