Individual provider Active NPI

Dawn Marie Digennaro, LMSW

  • Clinical Social Worker
  • Summerville, SC
National Provider Identifier
1174712574
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
12729 Issued in SC
Practice address
1101 Old Trolley Rd Ste 400
Summerville, SC 29485-5294
Phone
(843) 695-7106
Fax
(833) 672-3082
NPI assigned
Oct 22, 2007
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12729 SC Primary
Clinical Social Worker 1041C0700X 055818 NY

Addresses

Primary practice location

1101 Old Trolley Rd Ste 400
Summerville, SC 29485-5294

Mailing address

1808 Route 6
Carmel, NY 10512-2356
Phone (845) 225-2700

Other identifiers 1

IdentifierTypeStateIssuer
055818OtherNYLICENSE

Other names 1

  • Miss Dawn Marie Wissing Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20190927003191 SC Practitioner - Clinical Social Worker 8224182902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

810 Travelers Blvd
Suite C1
Summerville, SC 29485-8259
Phone (843) 695-7106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
055818NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Feb 10, 2026 Accepting new patients
Endless Horizons Counseling, LLC CurrentSince Jan 12, 2023 Accepting new patients
Steven Blauner PLLC Clinical PastSince May 1, 2022 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
The Mental Health Association of Westchester County - Social Care Network Past Accepting new patients
The Mental Health Association of Westchester County, Inc. Clinical PastSince Aug 13, 2007 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

Locations

170 Meeting St
Charleston, SC 29401
Phone (800) 985-3059

1101 Old Trolley Rd
Ste 400
Summerville, SC 29485
Phone (843) 212-6802

717 Old Trolley Rd
Ste 6
Summerville, SC 29485

810 Travelers Blvd
Ste C1
Summerville, SC 29485
Phone (843) 695-7106

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1174712574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 ROUTE 6",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105122356",
            "telephone_number": "845-225-2700",
            "fax_number": "845-225-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 OLD TROLLEY RD STE 400",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855294",
            "telephone_number": "843-695-7106",
            "fax_number": "833-672-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGENNARO",
        "first_name": "DAWN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "12729",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "055818",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WISSING",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Summerville, SC

Sources for this page

Verify at the official NPI Registry.