Individual provider Active NPI

Dawn L Dirito, LCSW

  • Social Worker
  • Jacksonville, FL
National Provider Identifier
1972835361
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW9543 Issued in FL
Practice address
320 1St St N
Ste 613
Jacksonville, FL 32250-6944
Phone
(941) 874-9760
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW9543 FL Primary

Addresses

Primary practice location

320 1St St N
Ste 613
Jacksonville, FL 32250-6944

Mailing address

320 1St St N
Ste 613
Jacksonville, FL 32250-6944
Phone (941) 874-9760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9543FLMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1972835361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "address_2": "STE 613",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506944",
            "telephone_number": "941-874-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N",
            "address_2": "STE 613",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322506944",
            "telephone_number": "941-874-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRITO",
        "first_name": "DAWN",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW9543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.