Healthcare Provider Details

I. General information

NPI: 1184255192
Provider Name (Legal Business Name): DAWN FARRIER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 395
WENDELL NC
27591-0395
US

IV. Provider business mailing address

PO BOX 395
WENDELL NC
27591-0395
US

V. Phone/Fax

Practice location:
  • Phone: 919-614-1753
  • Fax:
Mailing address:
  • Phone: 919-614-1753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number118990
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC01709
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20749
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: