MR. DANA WILLCOX


Address: 13-15 E Deer Park Dr, Suite 100, Gaithersburg, MD 20877-2070
Phone: 3012160930

MR. DANA WILLCOX (NPI# 1114034618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114034618
Entity Type Individual
Full Name MR. DANA WILLCOX
Credential LCSW-C
Practice Address 13-15 E Deer Park Dr
Suite 100
Gaithersburg
MD 20877-2070
Mailing Address Po Box 644
Gaithersburg
MD 20884-0644
Practice Telephone 3012160930
Practice Fax Number 3102160930
Mailing Telephone 3012160930
Mailing Fax Number 3012160930
Enumeration Date 2006-08-23
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
02662 MD Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD SOCIAL WORK LICENSE # 02662 01

Office Location

Street Address 13-15 E DEER PARK DR
SUITE 100
City GAITHERSBURG
State MD
Zip Code 20877-2070

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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

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1629585245 Lakisha Moniq Shears Social Worker 501 N Frederick Ave. Suite 300, Gaithersburg, MD 20877-1828 2018-01-04
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1225580202 Andrew Paul Darby Social Worker 15932 Shady Grove Rd Unit B, Gaithersburg, MD 20877-1314 2016-10-26
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Competitor

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City GAITHERSBURG
Zip Code 20877

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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