Active NPI
Dawn Delisa Novotny, LMSW
- Clinical Social Worker
- Sequim, WA
National Provider Identifier
1881711430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LW00004420
- Practice address
- 30 Dryke Rd
Sequim, WA 98382 - Phone
- (360) 683-7624
- NPI assigned
- Mar 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00004420 | WA | Primary |
Addresses
Primary practice location
30 Dryke Rd
Sequim, WA 98382
Mailing address
104 Hilltop Dr Unit C
Sequim, WA 98382-8181
Phone (360) 683-7624
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW00004420 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1881711430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 HILLTOP DR UNIT C",
"city": "SEQUIM",
"state": "WA",
"postal_code": "983828181",
"telephone_number": "360-683-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 DRYKE RD",
"city": "SEQUIM",
"state": "WA",
"postal_code": "98382",
"telephone_number": "360-683-7624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVOTNY",
"first_name": "DAWN",
"middle_name": "DELISA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00004420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sequim, WA
- Northwest Eye & Skin Surgeons Inc PS (Paragon Dermatology)
- Northwest Fitness LLC
- Northwest Massage and Holistic Healing Center
- Northwest Pain Relief Centers, LLC
- Shirley Ann Norton, PA-C
- Robert Nuffer, LCSW
- Christine Paige O'Connor-Perrino, LMP
- Jerome R Oakes, M.D.
- Nathan Oberg, PHARM. D.
- Elizabeth Olinger, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.