Active NPI
Daniel W. Wilson, LICSW
- Clinical Social Worker
- Washington, DC
National Provider Identifier
1063488468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC303311
- Practice address
- 2000 P St NW
Suite 412
Washington, DC 20036-5915 - Phone
- (202) 669-5959
- Fax
- (202) 363-2846
- NPI assigned
- Feb 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC303311 | DC | Primary |
| Clinical Social Worker | 1041C0700X | 10721 | MD |
Addresses
Primary practice location
2000 P St NW
Suite 412
Washington, DC 20036-5915
Mailing address
3604 Morrison St NW
Washington, DC 20015-1732
Phone (202) 669-5959
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CAREFIRST BCBS | Other | DC | PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10721 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1063488468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3604 MORRISON ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200151732",
"telephone_number": "202-669-5959",
"fax_number": "202-363-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 P ST NW",
"address_2": "SUITE 412",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200365915",
"telephone_number": "202-669-5959",
"fax_number": "202-363-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DANIEL",
"middle_name": "W.",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC303311",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10721",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPO",
"identifier": "CAREFIRST BCBS",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.