William Blaise Dismer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

001905 Issued in GA

Practice address

700 Coastal Village Dr
Brunswick, GA 31520-1974

Phone

(912) 554-8500

NPI assigned

Oct 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380672000000",
    "number": "1336576552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 CHARLES GILMAN JR AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COASTAL VILLAGE DR",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201974",
            "telephone_number": "912-554-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISMER",
        "first_name": "WILLIAM",
        "middle_name": "BLAISE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2013-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "001905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW LICENSE",
            "identifier": "CSW001905",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana L. Walther, PH.D. PC
• Robin Dickson, LCSW
• Digestive Associates, Inc.
• Edward A Dipreta, MD
• Renee Diskin, MD
• Hallie Dixon, RBT
• Mary Beth Dixon, PA-C
• DME Medical, Inc.
• Donato Health LLC
• Matthew Donato, PHARMD.

• Clinical Social Worker in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.