Debra Ann Dotson, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13879 Issued in MD

Practice address

10776 Grays Corner Rd.
Suite 2
Berlin, MD 21811

Phone

(410) 973-2525

Fax

(410) 973-2527

NPI assigned

Mar 5, 2007

Last updated

Feb 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MD, SC2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: debra.dotson.p1@direct.mdwellness.nextgenshare.com

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.

• Beyond Therapy

  • Clinical Social Worker
  • Myrtle Beach, SC
  • NPI 1306479506
  Medicare reassignment NPD Authorized official
• Maryland Wellness LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1588379739
  Medicare reassignment NPD
• Seaside Counseling & Wellness Center, LLC.

  • Clinical Social Worker
  • Berlin, MD
  • NPI 1780935239
  Medicare reassignment NPD
• Seaside Counseling & Wellness Center

  • Clinical Social Worker
  • Berlin, MD
  • NPI 1922410109
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1306975446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10776 GRAYS CORNER RD.",
            "address_2": "SUITE 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-973-2525",
            "fax_number": "410-973-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10776 GRAYS CORNER RD.",
            "address_2": "SUITE 2",
            "city": "BERLIN",
            "state": "MD",
            "postal_code": "21811",
            "telephone_number": "410-973-2525",
            "fax_number": "410-973-2527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4209 Mayfair St Ste A",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295775899",
            "country_code": "US",
            "telephone_number": "843-989-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "G11570",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thuc Uyen T DO-Balster
• Elise Donna Doak
• Doncorbog Associates, LLC (Home Instead Senior Care #734)
• Tammy Lynn Donoway, D.O.
• Kathleen Dorsch, RD
• Amanda Dovidaitis
• Nicole Downing
• Dr. Kimberly Digiorgio, LCP LLC
• Lindsay Duryea, DPT
• Alyssa Nicole Dyson

• Clinical Social Worker in Berlin, MD
• Providers in Berlin, 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 Feb 17, 2020; 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.

Verify at the official NPI Registry.