Dana Willcox, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

02662 Issued in MD

Practice address

13-15 E Deer Park Dr
Suite 100
Gaithersburg, MD 20877-2070

Phone

(301) 216-0930

Fax

(310) 216-0930

NPI assigned

Aug 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114034618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208840644",
            "telephone_number": "301-216-0930",
            "fax_number": "301-216-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13-15 E DEER PARK DR",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208772070",
            "telephone_number": "301-216-0930",
            "fax_number": "310-216-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLCOX",
        "first_name": "DANA",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "02662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE #",
            "identifier": "02662",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Aaliyah Williams
• Angela Gail Williams, LCPC
• Ariyae Brooklyn Williams
• Ashley Juanita Marie Williams, LGPC
• Bronwen Elizabeth Williams, PH.D.

• Clinical Social Worker in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.