Dena K Wilcox, MACCCSLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2884 Issued in SC

Practice address

181 E Evans St
Suite 310
Florence, SC 29506-2511

Phone

(843) 407-4189

Fax

(843) 407-4191

NPI assigned

Mar 26, 2007

Last updated

Aug 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehabilitation

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  SC

  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  dba Synchrony Rehab

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD
• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446

  Speech-Language Pathologist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1073631685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 EDENDERRY WAY",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295017530",
            "telephone_number": "843-496-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E EVANS ST",
            "address_2": "SUITE 310",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295062511",
            "telephone_number": "843-407-4189",
            "fax_number": "843-407-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "DENA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "MACCCSLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2884",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202001887",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryum Tauseef Wicker, NP
• Sonia Thomas Wicker, PA-C
• Rebecca Jean Widel, NP
• Jessica Devon Wiggins, PA-C
• Haley Wightman, MCD,CCC-SLP
• Scott Richard Wilcox, LPCS
• Laverne Wilds, RN
• Brittany Wiley
• Charles A Wilfong, OD
• Sara Wilkerson

• Speech-Language Pathologist in Florence, SC
• Providers in Florence, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.