JENNIFER PHOENIX DAWN (LCSW) – Clinical Social Worker, NPI 1760614366

JENNIFER PHOENIX DAWN (LCSW) is a healthcare provider. based in South lake tahoe, California. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 26121 (CA). The NPI Number for JENNIFER PHOENIX DAWN (LCSW) is 1760614366

Main info

Female
Name
JENNIFER PHOENIX DAWN (LCSW)
NPI
1760614366
Phone
(530) 573-7970
Address
1900 LAKE TAHOE BLVD
Enumeration Date
14 August 2009
Last Update Date
31 May 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for JENNIFER PHOENIX DAWN (LCSW)

  • 1900, Lake Tahoe Boulevard, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States

    SOUTH LAKE TAHOE, CA 961506305

    Phone: (530) 573-7970

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 96150)

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Reviews

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Frequently asked questions

What NPI should I save for JENNIFER PHOENIX DAWN (LCSW)?
Save NPI 1760614366 if you need a stable reference for JENNIFER PHOENIX DAWN (LCSW).
Is JENNIFER PHOENIX DAWN (LCSW) active in the national directory?
JENNIFER PHOENIX DAWN (LCSW)'s public NPI profile is in an active state.
What kind of provider is JENNIFER PHOENIX DAWN (LCSW)?
The page reflects Clinical Social Worker for JENNIFER PHOENIX DAWN (LCSW). Clinical services aligned with this taxonomy classification.
Where is JENNIFER PHOENIX DAWN (LCSW)'s primary listing?
We display South Lake Tahoe, California because that is what the record indicates for JENNIFER PHOENIX DAWN (LCSW).
How can I contact JENNIFER PHOENIX DAWN (LCSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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