Active NPI
Dawn Marie Digennaro, LMSW
- Clinical Social Worker
- Summerville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12729
- 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, 2023
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055818 | Other | NY | LICENSE |
Other names 1
- Miss Dawn Marie Wissing
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 055818 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Endless Horizons Counseling, LLC | Current | Accepting new patients | |
| Steven Blauner PLLC | Clinical | Past | 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 | Past | 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.
-
- Mental Health Counselor
- Summerville, SC
- NPI 1831826031
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
SC
-
dba CoveCare Center
- Mental Health Counselor
- Carmel, NY
- NPI 1497737167
-
dba CoveCare Center
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
-
- Clinical Social Worker
- Weston, CT
- NPI 1164159372
-
- Case Manager/Care Coordinator
- Tarrytown, NY
- NPI 1760320659
-
- Community/Behavioral Health Agency
- White Plains, NY
- NPI 1942306873
Clinical
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.