David Samuel Dorsey, LCSW, OTR/L, LSSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C007117 Issued in NC

Practice address

1720 Barclay Pointe Blvd Apt 11101
Wilmington, NC 28412-1138

Phone

(910) 409-4629

NPI assigned

Aug 10, 2012

Reactivated

Sep 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1699022566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 BARCLAY POINTE BLVD APT 11101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 BARCLAY POINTE BLVD APT 11101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284121138",
            "telephone_number": "910-409-4629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "credential": "LCSW, OTR/L, LSSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "deactivation_date": "2014-09-17",
        "reactivation_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "1026675",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "14089",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C007117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Donovan, D.C.
• Christopher F Donovin, PA
• Kyle W Dore, PA-C
• George Dorman
• Linda Dorman, MSW, LMSW, LCAS
• Teresa Louise Doss, FNP
• Sarah Rose Dotzler, LCMHCA
• Doubleton, LLC
• Meghan Elizabeth Dougherty, M.D.
• Regan B Dougherty

• Clinical Social Worker in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.