MEDICARE: LINDSEY NICOLE DAWSON MSW

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	1041C0700X	Clinical Social Worker	202008	AK

General Provider Information

NPI Number	:	1043811862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY NICOLE DAWSON MSW

Provider Business Mailing Address
First Line	:	1450 MULDOON RD STE 111
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2873
Country	:	US
Telephone Number	:	907-972-8668
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 MULDOON RD STE 111
Second Line	:
City	:	ANCHORAGE
State	:	AK
Zip	:	99504-2873
Country	:	US
Telephone Number	:	907-972-8668
Fax Number	:

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

Provider Enumeration Date	:	11/06/2020
Last Update Date	:	07/01/2024

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