=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295397727
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DAWN A ADAMS-MEREDITH LCSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/04/2019
-----------------------------------------------------
Last Update Date | 07/04/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5571 N UNIVERSITY DR STE 101
-----------------------------------------------------
City | CORAL SPRINGS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33067-4653
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 754-223-6584
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4732 NW 22ND ST
-----------------------------------------------------
City | COCONUT CREEK
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33063-3877
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-278-2313
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | SW16354
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------