Kenneth Bart Dodson

Clinical Social Worker · Farmington, NM

Individual Active NPI

NPI number 1194013490

Practice location

2001 N Cochiti Ave
Farmington, NM 87401-4237
Phone
(505) 613-6909

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NPI record

NPI
1194013490
Entity type
Individual (Type 1)
Enumeration date
July 20, 2011
Last updated
April 3, 2025
Certified
April 3, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X C09762 NM
Addiction (Substance Use Disorder) Counselor 101YA0400X 0139981 NM

Mailing address

PO Box 322
Farmington, NM 87499-0322
Phone
(505) 613-6909

About Kenneth Dodson

Kenneth Bart Dodson is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 2001 N Cochiti Ave, Farmington, NM 87401-4237. The NPI number 1194013490 was assigned on July 20, 2011 and the record was last updated on April 3, 2025.

Kenneth Dodson lists 2 licenses in the registry: #C09762 (NM) for Clinical Social Worker; #0139981 (NM) for Addiction (Substance Use Disorder) Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kenneth Bart Dodson?

The NPI number is 1194013490.

What is the phone number of Kenneth Dodson?

The phone number listed for the practice location is (505) 613-6909.

Where is Kenneth Dodson located?

2001 N Cochiti Ave, Farmington, NM 87401-4237.

What is the taxonomy code for Kenneth Dodson?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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