Active NPI
Dawn Walton Wilson, MSW, ACSW, LCSW, NSW
- Social Worker
- Covington, VA
National Provider Identifier
1154630879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 0904003169
- Practice address
- 2708 Potts Creed Rd.
Covington, VA 24426 - Phone
- (540) 747-2495
- NPI assigned
- Sep 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 0904003169 | VA | Primary |
| Social Worker | 104100000X | CP00941017 | WV |
Addresses
Primary practice location
2708 Potts Creed Rd.
Covington, VA 24426
Mailing address
P.O. Box 921
Covington, VA 24426-0921
Phone (540) 747-2495
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904003169 | VA | MD | Social Worker |
| CP00941017 | WV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285718400000",
"number": "1154630879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 921",
"city": "COVINGTON",
"state": "VA",
"postal_code": "244260921",
"telephone_number": "540-747-2495",
"fax_number": "540-747-2789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 POTTS CREED RD.",
"city": "COVINGTON",
"state": "VA",
"postal_code": "24426",
"telephone_number": "540-747-2495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DAWN",
"middle_name": "WALTON",
"name_prefix": "Ms.",
"credential": "MSW, ACSW, LCSW, NSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-29",
"last_updated": "2010-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904003169",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "CP00941017",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, VA
- Teresa Gay Underwood, FNP-C
- Virginia CVS Pharmacy LLC (CVS Pharmacy #06326)
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2662)
- Wal-Mart Stores East, LP (Vision Center 30-2662)
- David L. Wheeler, DDS
- Shanna Woodward
- Delinda Kay Woody, NP
- Brittany Wright, LPC
- Nadine Wykle, LPC; CSAC
- Thomas R. Yane, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.