Active NPI
Amy S Dotson, MSW, LCSW
- Clinical Social Worker
- Cornelius, NC
National Provider Identifier
1881603579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C004020
- Practice address
- 21300 Catawba Ave
Cornelius, NC 28031-8505 - Phone
- (704) 516-1168
- Fax
- (704) 892-0366
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004020 | NC | Primary |
Addresses
Primary practice location
21300 Catawba Ave
Cornelius, NC 28031-8505
Mailing address
PO Box 481046
Charlotte, NC 28269-5309
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6003050 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004020 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dotson Consulting and Counseling, Inc | Clinical | Past | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- Cornelius, NC
- NPI 1336158047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1881603579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 481046",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282695309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21300 CATAWBA AVE",
"city": "CORNELIUS",
"state": "NC",
"postal_code": "280318505",
"telephone_number": "704-516-1168",
"fax_number": "704-892-0366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOTSON",
"first_name": "AMY",
"middle_name": "S",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C004020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6003050",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cornelius, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.