Sean Patrick Dewinter, LISW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

I.1500293 Issued in OH

Practice address

1061 Harmon Ave Suite 1D03
Ft Stewart, GA 31314-5674

Phone

(912) 435-6965

NPI assigned

Jul 1, 2015

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442534400000",
    "number": "1790168383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE SUITE 1D03",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE SUITE 1D03",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "telephone_number": "912-435-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWINTER",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.1500293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Simone Demery, LCSW
• Heather Ziccarelli Deneen, RDN
• Danny Ray Denkins, RN
• Sylvia Snell Denson, FNP-C
• Lisa Michele Deraleau, LCSW
• Gabriel Diaz, PSY. D.
• Jasmine Angie Diaz
• Dane Douglas Dicaro, D.O.
• Peggy J Dickey, LCSW
• Robert Difilippo, D.O.

• Mental Health Counselor in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.