Dawn N Wilda, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

22 Chase River Rd
Waterbury, CT 06704-1408

Phone

(203) 753-2153

NPI assigned

Sep 30, 2013

Last updated

Sep 30, 2013By 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)

Not enrolled

Practice roles

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.

• Family Intervention Center, Inc

  • Clinic/Center
  • Waterbury, CT
  • NPI 1598764474
  NPD (past)

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

{
    "created_epoch": "1380499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1427485820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 JOSHUA HILL RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983519",
            "telephone_number": "203-263-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHASE RIVER RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041408",
            "telephone_number": "203-753-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDA",
        "first_name": "DAWN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-30",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quentin R Whitmore, PATHOLOGY ASSISTANT
• Cornelius W Wickersham, M.D.
• Stephen Conner Widman, M.D.
• Kelly Ann Wilber, APRN
• Cameron Wilcox
• Dustin K Wilde, DMD
• Brittney Wilkes, LPC
• William Gomes
• Alexis Williams
• Ashley Williams, LPC

• Clinical Social Worker in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.