Active NPI
Dawn Nicholson, LCSW
- Clinical Social Worker
- Pensacola, FL
National Provider Identifier
1942937099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW20283
- Practice address
- 4300 Bayou Blvd Ste 27
Pensacola, FL 32503-2671 - Phone
- (850) 466-7127
- NPI assigned
- Aug 8, 2022
- 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 | SW20283 | FL | Primary |
Addresses
Primary practice location
4300 Bayou Blvd Ste 27
Pensacola, FL 32503-2671
Mailing address
4768 Timber Ridge Dr
Pace, FL 32571-8034
Phone (850) 516-2896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW20283 | Other | FL | LICENSED CLINICAL SOCIAL WORKER |
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 |
|---|---|---|---|
| SW20283 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1942937099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4768 TIMBER RIDGE DR",
"city": "PACE",
"state": "FL",
"postal_code": "325718034",
"telephone_number": "850-516-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 BAYOU BLVD STE 27",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032671",
"telephone_number": "850-466-7127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "DAWN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-08",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW20283",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL WORKER",
"identifier": "SW20283",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.