| Dawn M Neely Msw Licsw Pllc | |
|
874 Fairmont Rd Suite C Morgantown WV 26501 | |
| (304) 290-8138 | |
| (304) 598-0473 |
| Full Name | Dawn M Neely Msw Licsw Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 874 Fairmont Rd, Morgantown, West Virginia |
| Authorized Official Name and Position | Dawn Neely (OWNER / SOLE MEMBER) |
| Authorized Official Contact | 3042908138 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn M Neely Msw Licsw Pllc 874 Fairmont Rd Ste C Morgantown WV 26501-3893 Ph: (304) 290-8138 | Dawn M Neely Msw Licsw Pllc 874 Fairmont Rd Suite C Morgantown WV 26501 Ph: (304) 290-8138 |
| NPI Number | 1912354523 |
|---|---|
| Provider Enumeration Date | 05/24/2016 |
| Last Update Date | 08/10/2018 |
| Medicare PECOS PAC ID | 4587950639 |
|---|---|
| Medicare Enrollment ID | O20160915001829 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912354523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | DP00941909 (West Virginia) | Primary |
| Provider Name | Dawn M Neely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053571893 PECOS PAC ID: 9133396369 Enrollment ID: I20120111000621 |
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