Craig Edward Wisner, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21469 Issued in MD

Practice address

409 Camden Ave Apt a
Salisbury, MD 21801-5408

Phone

(443) 944-8822

Fax

(410) 219-2666

NPI assigned

Apr 23, 2008

Last updated

Nov 30, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dunahoo Psychological Associates LLCGroup PAC ID 2062663230, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dunahoo Psychological Associates, LLC

  • Clinical Psychologist
  • Salisbury, MD
  • NPI 1154674562
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1902071798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMDEN AVE APT A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015408",
            "telephone_number": "443-944-8822",
            "fax_number": "410-219-2666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMDEN AVE APT A",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015408",
            "telephone_number": "443-944-8822",
            "fax_number": "410-219-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Black Rock Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "MD",
            "postal_code": "210742649",
            "country_code": "US",
            "telephone_number": "443-750-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WISNER",
        "first_name": "CRAIG",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-23",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "SC0646",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Charles Winnacott, MD
• David Winston, DO
• Jessica Wise
• Larry Keith Wise, MD
• Courtney Nicole Wisk, ATC
• Naomi Witherspoon, LMSW
• Erin Vada Wittenberg, OTR/L
• Tammy Gayle Witzke, LCPC
• Selorm K Woadzro, PHARMD
• Fritz Woloua

• Clinical Social Worker in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.