Active NPI
Dawn M Neely MSW Licsw PLLC
- Social Worker
- Morgantown, WV
National Provider Identifier
1912354523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- DP00941909
- Legal business name
- DAWN M NEELY MSW LICSW PLLC
- Practice address
- 874 Fairmont Rd
Suite C
Morgantown, WV 26501 - Phone
- (304) 290-8138
- Fax
- (304) 598-0473
- NPI assigned
- May 24, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dawn Neely, LICSW
- Title
- Owner / Sole Member
- Phone
- (304) 290-8138
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | DP00941909 | WV | Primary |
Addresses
Primary practice location
874 Fairmont Rd
Suite C
Morgantown, WV 26501
Mailing address
874 Fairmont Rd Ste C
Morgantown, WV 26501-3893
Phone (304) 290-8138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
874 Fairmont Rd
Ste C
Morgantown, WV 26501
Phone (304) 290-7210
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Morgantown, WV
- NPI 1053571893
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1194962092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533859200000",
"number": "1912354523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 FAIRMONT RD STE C",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265013893",
"telephone_number": "304-290-8138",
"fax_number": "304-598-0473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 FAIRMONT RD",
"address_2": "SUITE C",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26501",
"telephone_number": "304-290-8138",
"fax_number": "304-598-0473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAWN M NEELY MSW LICSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-24",
"last_updated": "2018-08-10",
"status": "A",
"authorized_official_last_name": "NEELY",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "OWNER / SOLE MEMBER",
"authorized_official_telephone_number": "304-290-8138",
"authorized_official_credential": "LICSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "WV",
"license": "DP00941909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.