Active NPI
Martha Brooke Dawson, MSW, LCSW
- Clinical Social Worker
- Ashland, MO
National Provider Identifier
1962966499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 004584
- Practice address
- 504 E Broadway Ste a
Ashland, MO 65010-9538 - Phone
- (573) 657-7330
- Fax
- (573) 657-1772
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- 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 | 004584 | MO | Primary |
Addresses
Primary practice location
504 E Broadway Ste a
Ashland, MO 65010-9538
Mailing address
3600 E Edwards Rd
Ashland, MO 65010-9230
Phone (573) 289-0214
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 |
|---|---|---|---|
| 004584 | MO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1962966499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 E EDWARDS RD",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650109230",
"telephone_number": "573-289-0214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 E BROADWAY STE A",
"city": "ASHLAND",
"state": "MO",
"postal_code": "650109538",
"telephone_number": "573-657-7330",
"fax_number": "573-657-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "MARTHA",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "004584",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, MO
- Holleen Coleman, NBC-HWC
- Alex Crane, PA
- Curators of the University of Missouri (University Physicians Specialty Care Associates)
- Curators of the University of Missouri (University Physicians)
- Curators of the University of Missouri (University Physicians Specialty Care Associates)
- Haley Hawken Derks
- Natalie Bill Dowd, D.C.
- Enjoy Great Health Chiropractic, PC
- Caitlin Ashley Featherston, PA
- Marieflor Iringan Ferrell, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.