Dwa Counselor PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000642 Issued in NC

Legal business name

DWA COUNSELOR PLLC

Practice address

1213 Culbreth Drive
Suite 215 Dwa Counselor PLLC
Wilmington, NC 28405

Phone

(910) 509-0093

Fax

(910) 256-0630

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Dorothy W Andrew, LCSW

Title

Owner

Phone

(910) 509-0093

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699794628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DRIVE",
            "address_2": "SUITE 215",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-509-0093",
            "fax_number": "910-256-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 CULBRETH DRIVE",
            "address_2": "SUITE 215 DWA COUNSELOR PLLC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-509-0093",
            "fax_number": "910-256-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWA COUNSELOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREW",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-509-0093",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6274883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "B9886",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "11468",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "99713",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Bryan Durham, MD
• Kevin H Durocher, M.D.
• Caitlin Taylor Duron, LCSWA
• Dominique Duzant, LCMHC-A
• Devon C Dvorzsak, O.D.
• Savannah Reid Dwiggins
• Lindsey Marie Dykes, LCSW
• Dynamic Counseling Services PLLC
• Thomas Scott Dziedzic, M.D.
• Matthew J Dzurik, D.P.M.

• 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 Aug 22, 2020; 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.