Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dawn Marie Wigutow

Individual provider Clinical Social Worker · NPI 1871713065

Dawn Marie Wigutow is a Clinical Social Worker in Lake Ronkonkoma, New York. Qualified in 2006, 20 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
20
Licensed in
NY
In the registry since
2007

Practice location Address checks out

27 Uhl St
Lake Ronkonkoma, NY 11779-2740
Phone: (631) 877-9184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 076904-1 (NY)

Record details

NPI number1871713065
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 27, 2007
Last updated in NPPESFebruary 21, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Ronkonkoma