MEDICARE: MS. CAROLYN G DAWKINS LCSWC

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	09930	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	454CDI	OTHER	MD	CAREFIRST BC/BS

General Provider Information

NPI Number	:	1740236462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN G DAWKINS LCSWC

Provider Business Mailing Address
First Line	:	9006 WOODYARD RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4206
Country	:	US
Telephone Number	:	301-856-3636
Fax Number	:	301-856-3633

Provider Business Practice Location Address
First Line	:	9006 WOODYARD RD
Second Line	:
City	:	CLINTON
State	:	MD
Zip	:	20735-4206
Country	:	US
Telephone Number	:	301-856-3636
Fax Number	:	301-856-3633

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

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	10/28/2016

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