Harrison Dewalt, LSW is a
Social Worker based in Shelby, Ohio. Harrison Dewalt is licensed to practice in Ohio (license number S.2511830) and his current practice location is
2775 State Route 39, Shelby, Ohio. He can be reached at his office (for appointments etc.) via phone at
(419) 747-3322.
NPI number for Harrison Dewalt is 1619798774 and his current mailing address is 1730 Blue Locust Dr, Mansfield, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619798774.
Healthcare Provider's Profile
| Full Name | Harrison Dewalt |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 2775 State Route 39, Shelby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619798774
- Provider Enumeration Date: 10/22/2024
- Last Update Date: 02/04/2025
Medical Identifiers
Medical identifiers for Harrison Dewalt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619798774 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.190266 (Ohio) | Secondary |
| 104100000X | Social Worker | S.2511830 (Ohio) | 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. Harrison Dewalt 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 |
|---|
Harrison Dewalt, LSW
1730 Blue Locust Dr,
Mansfield, OH 44905-2302
Ph: (419) 545-1164 | Harrison Dewalt, LSW
2775 State Route 39,
Shelby, OH 44875-9466
Ph: (419) 747-3322 |
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