Provider Demographics
NPI:1154060754
Name:DAWSON, ANIKA SMITH (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:ANIKA
Middle Name:SMITH
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:ANIKA
Other - Middle Name:SMITH
Other - Last Name:HAMPTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:5120 BEAGLE LN E
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38002-5998
Mailing Address - Country:US
Mailing Address - Phone:901-649-1536
Mailing Address - Fax:
Practice Address - Street 1:5120 BEAGLE LN E
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38002-5998
Practice Address - Country:US
Practice Address - Phone:901-649-1536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12131104100000X
TN82311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker