Dawn Willey Earls, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 9781 Issued in FL

Practice address

4250 66TH St N
Kenneth City, FL 33709-4918

Phone

(727) 546-2405

NPI assigned

Jul 9, 2012

Last updated

Apr 16, 2019By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1316202153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8538 GRAVE AVE",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346544914",
            "telephone_number": "727-798-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 66TH ST N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094918",
            "telephone_number": "727-546-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3804 Gunn Hwy",
            "address_2": "Ste A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336188791",
            "country_code": "US",
            "telephone_number": "813-898-2812",
            "fax_number": "813-898-2813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEY EARLS",
        "first_name": "DAWN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 9781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosmeury Venero Rodriguez
• Elizabeth Watson, PT, DPT
• Jason Jeremy Weber, PTA
• Kathryn S. Wefel, MS, CCC-SLP
• Kelly Marie Wemken
• Dawn M Williams, LMT
• Rena Gentle Hope Williams, FNP
• Mili Maria Xavier, FNP
• Joseph R Zucco, PT

• Clinical Social Worker in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.