Individual provider Active NPI

Daniel McCawley, PRSS

  • Peer Specialist
  • Morgantown, WV
National Provider Identifier
1982337580
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
18907 Issued in WV
Practice address
206 Spruce St
Morgantown, WV 26505-7539
Phone
(304) 685-7942
NPI assigned
Jul 1, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 18907 WV Primary

Addresses

Primary practice location

206 Spruce St
Morgantown, WV 26505-7539

Mailing address

306 Brooke Ave
Morgantown, WV 26505-6362
Phone (304) 685-7942

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18907WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Morgantown Sober Living, Inc. CurrentSince Jul 17, 2022 Accepting new patients
Ascension, LLC PastSince Jul 17, 2022 Accepting new patients

Locations

206 Spruce St
Morgantown, WV 26505
Phone (304) 413-4300

235 High St
Ste 311
Morgantown, WV 26505
Phone (304) 244-0518

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1982337580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BROOKE AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056362",
            "telephone_number": "304-685-7942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SPRUCE ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265057539",
            "telephone_number": "304-685-7942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAWLEY",
        "first_name": "DANIEL",
        "credential": "PRSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "18907",
            "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 Jul 1, 2022; 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.