Individual provider Active NPI

Shawna L Dingwall, LMSW, CAADC, JSOCCP

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1962869032
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801113817 Issued in MI
Practice address
3253 Congress Ave
Saginaw, MI 48602-3106
Phone
(989) 475-4171
Fax
(989) 393-6021
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801113817 MI Primary

Addresses

Primary practice location

3253 Congress Ave
Saginaw, MI 48602-3106

Mailing address

3032 E Mount Morris Rd
Mount Morris, MI 48458-8991
Phone (810) 280-3979

Other practice location 1

3032 E Mount Morris Rd # Rs
Mount Morris, MI 48458-8991
Phone (810) 280-3979

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

LicenseStateTypeSpecialty
6801113817MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1962869032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 E MOUNT MORRIS RD",
            "city": "MOUNT MORRIS",
            "state": "MI",
            "postal_code": "484588991",
            "telephone_number": "810-280-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 CONGRESS AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023106",
            "telephone_number": "989-475-4171",
            "fax_number": "989-393-6021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3032 E Mount Morris Rd # Rs",
            "address_purpose": "LOCATION",
            "city": "Mount Morris",
            "state": "MI",
            "postal_code": "484588991",
            "country_code": "US",
            "telephone_number": "810-280-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINGWALL",
        "first_name": "SHAWNA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LMSW, CAADC, JSOCCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801113817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.