Individual provider Active NPI

Denise Shavon Dawson, LCSW, LCAS

  • Clinical Social Worker
  • Durham, NC
National Provider Identifier
1861899643
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C008795 Issued in NC
Practice address
3201 Yorktown Ave Ste 117D
Durham, NC 27713-1474
Phone
(919) 593-3340
Fax
(919) 550-2397
NPI assigned
Nov 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2343 NC
Mental Health Counselor 101YM0800X C008795 NC
Clinical Social Worker 1041C0700X C008795 NC Primary

Addresses

Primary practice location

3201 Yorktown Ave Ste 117D
Durham, NC 27713-1474

Mailing address

756-402 CL Tart Cir
Fayetteville, NC 28314-3149
Phone (919) 593-3340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C008795NCMDClinical Social Worker
7793TNMDProsthodontist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617840000000",
    "number": "1861899643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756-402 CL TART CIR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283143149",
            "telephone_number": "919-593-3340",
            "fax_number": "919-550-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 YORKTOWN AVE STE 117D",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277131474",
            "telephone_number": "919-593-3340",
            "fax_number": "919-550-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "DENISE",
        "middle_name": "SHAVON",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-22",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2343",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C008795",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C008795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.