Dawn Willey Earls, LCSW
Individual provider Active NPI Clinical Social Worker · Kenneth City, FL
NPI 1316202153 · NPPES record last updated Apr 16, 2019
Key facts
- NPI
- 1316202153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW 9781 (FL)
- Practice address
- 4250 66TH St N
Kenneth City, FL 33709-4918 - Phone
- (727) 546-2405
- NPI assigned
- Jul 9, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW 9781 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW 9781 | FL | Yes |
Addresses
Primary practice location
4250 66TH St N
Kenneth City, FL 33709-4918
Mailing address
8538 Grave Ave
New Port Richey, FL 34654-4914
Phone (727) 798-1438
Other practice location 1
3804 Gunn Hwy
Ste A
Tampa, FL 33618-8791
Phone (813) 898-2812
Other providers in Kenneth City, FL
- Rosmeury Venero Rodriguez
- Elizabeth Watson
- Jason Jeremy Weber
- Kathryn S. Wefel
- Kelly Marie Wemken
- Dawn M Williams
- Rena Gentle Hope Williams
- Mili Maria Xavier
- Joseph R Zucco
All providers in Kenneth City, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.