MR. BRIAN WADE DAWSON (L.M.S.W.) – Clinical Social Worker, NPI 1124176508

MR. BRIAN WADE DAWSON (L.M.S.W.) is a healthcare provider. based in Holly, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.M.S.W.. They hold a License No. 6801083299 (MI). The NPI Number for MR. BRIAN WADE DAWSON (L.M.S.W.) is 1124176508

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRIAN WADE DAWSON (L.M.S.W.)
NPI
1124176508
Phone
(248) 431-4516
Address
6819 BUCKHORN LAKE RD
Enumeration Date
8 January 2007
Last Update Date
4 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488451535
Graduation Year
2001 (25 years ago)
PAC ID
2961732862
Professional Enrollment ID
I20190919000139
Address ID
MI48442XXXXHOXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for MR. BRIAN WADE DAWSON (L.M.S.W.)

  • 6819 BUCKHORN LAKE RD

    HOLLY, MI 484429184

    Phone: (248) 431-4516

    Type: Location

  • 5150, Lake Grove Drive, White Lake Grove, White Lake Charter Township, Oakland County, Michigan, 48383, United States

    WHITE LAKE, MI 483831452

    Phone: (248) 431-4516

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190919000139IClinical Social WorkerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48442)

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Reviews

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Frequently asked questions

Can I use this page to confirm MR. BRIAN WADE DAWSON (L.M.S.W.)'s NPI?
Yes. MR. BRIAN WADE DAWSON (L.M.S.W.) is listed with NPI 1124176508 in the public NPI dataset.
Is MR. BRIAN WADE DAWSON (L.M.S.W.) listed as active for patients and plans?
The listing shows MR. BRIAN WADE DAWSON (L.M.S.W.) as active in the NPI system.
What is MR. BRIAN WADE DAWSON (L.M.S.W.) best known for clinically?
Directory data describes MR. BRIAN WADE DAWSON (L.M.S.W.) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect MR. BRIAN WADE DAWSON (L.M.S.W.) on a map?
Expect Holly, Michigan as a primary anchor for MR. BRIAN WADE DAWSON (L.M.S.W.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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