Individual provider Active NPI

Dawn Cooksey

  • Social Worker
  • Wilmington, OH
National Provider Identifier
1609006519
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I0008616 Issued in OH
Practice address
953 S South St
Wilmington, OH 45177-2921
Phone
(937) 383-4441
Fax
(937) 383-2348
NPI assigned
Jul 27, 2009
Last updated
Jul 27, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I0008616 OH Primary

Addresses

Primary practice location

953 S South St
Wilmington, OH 45177-2921

Mailing address

953 S South St
Wilmington, OH 45177-2921
Phone (937) 383-4441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180905001513 OH Practitioner - Clinical Social Worker 5193074185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Goodwill Easter Seals Miami ValleyGroup PAC ID 1951650944, 2 clinicians

Practice addresses (Care Compare)

660 S Main St
Dayton, OH 45402-2708
Phone (937) 528-6327

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I0008616OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Goodwill Easter Seals Miami Valley CurrentSince Jul 5, 2018 Accepting new patients
Goodwill Easter Seals of Miami Valley Past Accepting new patients

Locations

660 S Main St
Dayton, OH 45402
Phone (937) 461-4800

735 E Main St
Trotwood, OH 45426
Phone (937) 461-4801

732 W National Rd
Vandalia, OH 45377
Phone (937) 528-6577

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/gesmv/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1609006519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772921",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772921",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSEY",
        "first_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I0008616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.