Martha Brooke Dawson, MSW, LCSW

Individual provider Active NPI Clinical Social Worker · Ashland, MO

NPI 1962966499 · NPPES record last updated Jan 29, 2019

Key facts

NPI
1962966499
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
004584 (MO)
Practice address
504 E Broadway Ste a
Ashland, MO 65010-9538
Phone
(573) 657-7330
Fax
(573) 657-1772
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
004584MOMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 004584 MO Yes

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

Other providers in Ashland, MO

All providers in Ashland, MO · Clinical Social Worker in Missouri

Sources for this page

Verify at the official NPI Registry.