MR. KENNETH BART DODSON
NPI 1194013490
Social Worker - Clinical in Farmington, NM

Active since July 20, 2011
2001 N COCHITI AVE, FARMINGTON, NM 87401(505) 613-6909 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2025, Jun 6, 2024 (2 updates tracked since 2024).

About Mr. Kenneth Bart Dodson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH BART DODSON (NPI 1194013490) is an individual clinical provider in Farmington, New Mexico, licensed in New Mexico (C09762) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1194013490
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KENNETH BART DODSON
Location Address2001 N COCHITI AVEFarmington, NM 87401-4237
Mailing AddressPo Box 322Farmington, NM 87499-0322 · (505) 613-6909
Sole ProprietorNo
Enumeration DateJuly 20, 2011
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1194013490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NM · C09762
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0139981 (NM)
2001 N COCHITI AVE, Farmington, NM 87401

Other Identifiers 1

MedicaidN0001955NM

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
2001 N COCHITI AVE
FARMINGTON, NM 87401
Social Worker (Clinical)
2001 N COCHITI AVE
FARMINGTON, NM 87401
Social Worker (Clinical)
2001 N COCHITI AVE
FARMINGTON, NM 87401
Social Worker (Clinical)
2001 N COCHITI AVE
FARMINGTON, NM 87401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dodson's NPI number?

The NPI number for Kenneth Dodson is 1194013490. It was assigned to this individual provider in the NPPES registry on July 20, 2011.

Where is Kenneth Dodson located?

Kenneth Dodson practices at 2001 N Cochiti Ave, Farmington, NM 87401. The listed phone number is (505) 613-6909.

What is Kenneth Dodson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kenneth Dodson was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.