Khiana Gray Wyatt-locus, LCSW is a
Social Worker - Clinical based in Cedar Point, North Carolina. Khiana Gray Wyatt-locus is licensed to practice in North Carolina (license number C017289) and her current practice location is
722 Cedar Point Blvd # 227, Cedar Point, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 939-1110.
NPI number for Khiana Gray Wyatt-locus is 1912649351 and her current mailing address is 722 Cedar Point Blvd # 227, Cedar Point, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912649351.
Healthcare Provider's Profile
Full Name | Khiana Gray Wyatt-locus |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 722 Cedar Point Blvd # 227, Cedar Point, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912649351
- Provider Enumeration Date: 04/07/2022
- Last Update Date: 09/11/2024
Medical Identifiers
Medical identifiers for Khiana Gray Wyatt-locus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912649351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C017289 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Khiana Gray Wyatt-locus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Khiana Gray Wyatt-locus, LCSW 722 Cedar Point Blvd # 227, Cedar Point, NC 28584-8012 Ph: (910) 939-1110 | Khiana Gray Wyatt-locus, LCSW 722 Cedar Point Blvd # 227, Cedar Point, NC 28584-8012 Ph: (910) 939-1110 |
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