Individual provider · Type 1 NPI

Kenneth Bart Dodson

Clinical Social Worker · Farmington, NM

NPI number 1194013490 Active

Practice location

2001 N Cochiti Ave
Farmington, NM 87401-4237

Call (505) 613-6909 Map

Mailing address

PO Box 322
Farmington, NM 87499-0322

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X0139981 (NM)
Clinical Social Worker Primary 1041C0700XC09762 (NM)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1194013490

Kenneth Bart Dodson's National Provider Identifier is 1194013490, issued on Jul 20, 2011. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, NM. The record was last updated on Apr 3, 2025.