Dakota Gwiszcz, LCSW | |
317 Hovis Rd, Stanley, NC 28164-1413 | |
(732) 439-2324 | |
Not Available |
Full Name | Dakota Gwiszcz |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 317 Hovis Rd, Stanley, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215624176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 67434 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | C015715 (North Carolina) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
Mailing Address | Practice Location Address |
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Dakota Gwiszcz, LCSW 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1907 | Dakota Gwiszcz, LCSW 317 Hovis Rd, Stanley, NC 28164-1413 Ph: (732) 439-2324 |
India Monet Springfield, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 S Main St, Stanley, NC 28164 Phone: 704-836-9106 | |
Mrs. Jessica Elizabeth Marge, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7834 Nc 73 Hwy, Stanley, NC 28164 Phone: 704-207-3511 Fax: 704-207-3511 | |
Tillie Mitchell, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Lake Rd, Stanley, NC 28164 Phone: 704-860-3501 |