MEDICARE: CAROLINE DAWSON LSCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041S0200X	School Social Worker	2023016257	MO
2	1041C0700X	Clinical Social Worker	05632	KS

General Provider Information

NPI Number	:	1376894865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINE DAWSON LSCSW

Provider Business Mailing Address
First Line	:	5007 DEARBORN ST
Second Line	:
City	:	MISSION
State	:	KS
Zip	:	66202-1709
Country	:	US
Telephone Number	:	816-729-7112
Fax Number	:	913-621-5730

Provider Business Practice Location Address
First Line	:	7365 W 97TH ST STE 1
Second Line	:
City	:	OVERLAND PARK
State	:	KS
Zip	:	66212-2210
Country	:	US
Telephone Number	:	913-336-2293
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2012
Last Update Date	:	09/05/2023

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