Provider Demographics
NPI:1376894865
Name:DAWSON, CAROLINE (LSCSW)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:DAWSON
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5007 DEARBORN ST
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-1709
Mailing Address - Country:US
Mailing Address - Phone:816-729-7112
Mailing Address - Fax:913-621-5730
Practice Address - Street 1:7365 W 97TH ST STE 1
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2210
Practice Address - Country:US
Practice Address - Phone:913-336-2293
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-25
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20230162571041S0200X
KS056321041C0700X
KS8544104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical