Healthcare Provider Details

I. General information

NPI: 1174193023
Provider Name (Legal Business Name): DAWN FOXON CRAIN MSW, LCSW, LCAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2021
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 HOSPITAL DR
CLYDE NC
28721-8026
US

IV. Provider business mailing address

414 HOSPITAL DR
CLYDE NC
28721-8026
US

V. Phone/Fax

Practice location:
  • Phone: 469-801-3947
  • Fax: 828-667-5843
Mailing address:
  • Phone: 469-801-3947
  • Fax: 828-667-5843

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-27570
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC017122
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: