Physician Compare National (NPI:1114034618)

HEALTHCARE PROVIDER: DANA WILLCOX LCSW-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1114034618
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4789872532
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101221000930
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WILLCOX
	Individual professional last name
Provider First Name	DANA
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1975
	Individual professional's medical school graduation year
Primary Specialty	CLINICAL SOCIAL WORKER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	13 -15E DEER PARK DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 100
	Group Practice or individual's line 2 address
City	GAITHERSBURG
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	208772070
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3012160930
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y