Dawn K Shelton-Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

302-123 Issued in WI

Practice address

6247 W Donges LN
Brown Deer, WI 53223-1259

Phone

(413) 828-1920

NPI assigned

Apr 11, 2007

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

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  • NPI 1124441373
  NPD (past)
• Sebastian Family Psycholgy Practice

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  • NPI 1316360092
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1639392293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 W DONGES LN",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231259",
            "telephone_number": "414-828-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 W DONGES LN",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532231259",
            "telephone_number": "413-828-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6025 N Green Bay Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532093811",
            "country_code": "US",
            "telephone_number": "414-247-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHELTON-WILLIAMS",
        "first_name": "DAWN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "302-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39716600",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "302123",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Sengdara
• Amanda Seppanen
• Sereneaid LLC
• Rene F Settle-Robinson, DPM
• Callen Shaw
• Tiffany Sandra Sheperd, DNP, RN
• Shorehaven Behavioral Health
• Shorehaven Behavioral Health Inc
• Sarah Siker, MA
• Michelle Ann Simmons

• Clinical Social Worker in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.